Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $144.54	Facility		$12.88	$30.20	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.85 / $30.90	Professional		$7.94	$15.85	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $61.66	Facility		$22.39	$38.02	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.90 / $60.26	Professional		$22.39	$38.90	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $17.78 / $60.26	Professional		$16.22	$17.78	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $24.55 / $27.54	Facility		$21.88	$24.55	$27.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $27.54	Professional		$23.44	$25.12	$27.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $38.02	Facility		$19.50	$20.42	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.30	Professional		$19.50	$19.50	$26.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.95 / $29.51	Professional		$19.05	$19.95	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $10.47 / $12.59	Facility		$0.19	$10.47	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $21.88	Professional		$10.72	$12.59	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $35.48	Professional		$16.60	$19.95	$35.48