Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $58.88	Professional		$15.14	$21.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.44 / $33.11	Professional		$11.75	$23.44	$33.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $69.18	Facility		$23.44	$37.15	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $67.61	Professional		$23.44	$38.90	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $33.11	Professional		$17.38	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $53.70	Facility		$35.48	$52.48	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $67.61	Professional		$34.67	$52.48	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $56.23	Professional		$30.20	$43.65	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $47.86	Professional		$14.13	$21.88	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92