Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $30.90	Professional		$15.14	$25.12	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.02 / $72.44	Professional		$35.48	$38.02	$72.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $107.15 / $158.49	Facility		$34.67	$107.15	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $50.12	Professional		$32.36	$44.67	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $53.70 / $53.70	Facility		$43.65	$53.70	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $75.86	Professional		$35.48	$61.66	$75.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $67.61	Professional		$30.20	$48.98	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $74.13	Professional		$31.62	$45.71	$74.13