Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $85.11	Facility		$37.15	$37.15	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $42.66	Professional		$19.95	$33.11	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $75.86 / $117.49	Facility		$50.12	$75.86	$117.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $117.49	Professional		$42.66	$74.13	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $89.13	Facility		$72.44	$87.10	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $128.82	Professional		$60.26	$91.20	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $47.86	Professional		$19.05	$28.84	$47.86