Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.18	Professional		$16.98	$23.99	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $117.49	Professional		$40.74	$40.74	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $79.43	Professional		$30.20	$60.26	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $51.29	Facility		$37.15	$50.12	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $35.48	Facility		$32.36	$32.36	$35.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $74.13	Professional		$35.48	$50.12	$74.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $72.44	Facility		$32.36	$38.02	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $64.57	Professional		$33.11	$46.77	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $5,754.40	Facility		$1,023.29	$1,348.96	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $61.66	Professional		$25.12	$36.31	$61.66