Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $36.31	Professional		$14.13	$18.20	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $54.95	Professional		$17.38	$26.92	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $37.15	Professional		$15.49	$21.38	$37.15
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 Professional Modifier Low / Median / High Price $10.00 / $15.14 / $18.62	Professional		$10.00	$15.14	$18.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $47.86	Professional		$21.88	$32.36	$47.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $42.66	Professional		$21.88	$29.51	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $43.65	Professional		$17.38	$25.70	$43.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $19.50 / $33.11	Professional		$17.38	$19.50	$33.11