Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $8.32	Facility		$3.02	$3.02	$8.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.39	Professional		$3.02	$3.02	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $39.81 / $58.88	Facility		$23.99	$39.81	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $58.88	Professional		$23.99	$39.81	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $60.26	Professional		$21.38	$26.92	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $26.92	Facility		$22.39	$22.91	$26.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.44 / $51.29	Facility		$22.39	$23.44	$51.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $26.30	Professional		$22.39	$22.39	$26.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $25.70	Professional		$23.44	$23.44	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $21.88	Professional		$8.91	$12.02	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $40.74	Professional		$23.44	$23.44	$40.74