Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $30.90	Professional		$8.91	$14.13	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $18.62 / $26.92	Professional		$7.24	$18.62	$26.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $41.69	Facility		$16.60	$21.88	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $46.77	Professional		$16.60	$23.44	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $75.86	Professional		$14.45	$18.20	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $77.62	Facility		$17.78	$17.78	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $21.88	Professional		$15.85	$15.85	$21.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $20.89	Professional		$15.14	$16.60	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $30.90	Professional		$9.12	$15.14	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32