Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $53.70	Facility		$21.88	$21.88	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $44.67	Professional		$12.88	$22.91	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.89	Facility		$19.50	$19.50	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.60 / $19.50	Professional		$16.22	$16.60	$19.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $56.23 / $89.13	Facility		$38.02	$56.23	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $87.10	Professional		$38.02	$56.23	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.20 / $60.26	Professional		$27.54	$30.20	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $37.15	Facility		$26.92	$33.11	$37.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $38.02	Professional		$29.51	$33.88	$38.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $34.67 / $64.57	Facility		$33.11	$34.67	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $34.67 / $40.74	Professional		$32.36	$34.67	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $15.14 / $18.20	Facility		$0.27	$15.14	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $18.20 / $32.36	Professional		$15.49	$18.20	$32.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $60.26	Professional		$28.18	$34.67	$60.26