Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $269.15	Facility		$12.02	$20.89	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.88 / $25.12	Professional		$6.03	$12.88	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $13.49 / $13.49	Facility		$9.55	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $13.49	Professional		$11.48	$11.48	$13.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $51.29	Facility		$21.88	$31.62	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $48.98	Professional		$21.88	$31.62	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $60.26	Professional		$15.49	$16.98	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.05 / $22.39	Facility		$17.78	$19.05	$22.39
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $22.39	Professional		$19.05	$19.95	$22.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $19.50 / $36.31	Facility		$18.62	$19.50	$36.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Professional		$18.62	$18.62	$24.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $25.12	Professional		$18.62	$19.50	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $8.71 / $10.23	Facility		$0.15	$8.71	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $18.20	Professional		$8.71	$10.23	$18.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $33.88	Professional		$15.85	$19.50	$33.88