Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $141.25	Professional		$36.31	$70.79	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $223.87	Professional		$46.77	$102.33	$223.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $257.04	Facility		$61.66	$117.49	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $239.88	Professional		$61.66	$117.49	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $194.98	Facility		$125.89	$181.97	$194.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Professional		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $138.04 / $239.88	Professional		$57.54	$138.04	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $91.20 / $186.21	Professional		$44.67	$91.20	$186.21