Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.45 / $44.67	Facility		$10.72	$14.45	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $15.14	Professional		$3.98	$6.03	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.98 / $19.95	Facility		$6.76	$16.98	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.71 / $11.48	Professional		$3.63	$8.71	$11.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $9.33 / $19.95	Facility		$7.08	$9.33	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $20.42	Professional		$7.08	$9.77	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.76 / $75.86	Professional		$4.90	$6.76	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $12.59	Facility		$7.76	$7.76	$12.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $13.49 / $23.44	Facility		$7.76	$13.49	$23.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $9.33	Professional		$6.92	$6.92	$9.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $11.48 / $21.38	Facility		$8.13	$11.48	$21.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.92 / $8.51	Professional		$6.31	$6.92	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.33 / $9.33	Facility		$7.76	$9.33	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.24 / $8.71	Professional		$3.09	$3.24	$8.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $13.80	Professional		$3.47	$3.47	$13.80