Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $89.13	Facility		$26.92	$40.74	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $26.92	Professional		$12.88	$16.98	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.55 / $43.65	Facility		$0.71	$1.55	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.98 / $30.20	Professional		$8.32	$16.98	$30.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.18 / $75.86	Facility		$16.98	$28.18	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $56.23	Professional		$17.38	$28.18	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $75.86	Professional		$39.81	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Facility		$28.18	$33.88	$44.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $30.90	Facility		$21.88	$21.88	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $60.26	Professional		$21.88	$42.66	$60.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Facility		$354.81	$489.78	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $56.23	Professional		$30.90	$42.66	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,148.15	Facility		$478.63	$645.65	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $22.91	Professional		$6.92	$10.23	$22.91