Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.12 / $43.65	Professional		$15.14	$25.12	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $81.28	Professional		$19.50	$38.90	$81.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $43.65 / $81.28	Facility		$23.44	$43.65	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $44.67 / $83.18	Professional		$23.44	$44.67	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $57.54	Professional		$20.42	$22.39	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $69.18	Facility		$46.77	$66.07	$69.18
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 $25.70 / $46.77 / $85.11	Professional		$25.70	$46.77	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $69.18	Professional		$21.88	$38.90	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02