Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $30.20 / $34.67	Professional		$15.14	$30.20	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $33.88	Professional		$20.42	$25.12	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $67.61 / $67.61	Facility		$43.65	$67.61	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $95.50	Professional		$45.71	$60.26	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $57.54 / $81.28	Professional		$42.66	$57.54	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $93.33	Professional		$33.11	$51.29	$93.33