Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $50.12	Professional		$30.20	$38.90	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $69.18	Professional		$15.49	$19.50	$69.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $158.49	Facility		$34.67	$93.33	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Facility		$38.90	$57.54	$77.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $117.49	Professional		$60.26	$89.13	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $218.78	Facility		$74.13	$114.82	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Facility		$104.71	$141.25	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $134.90	Professional		$39.81	$77.62	$134.90