Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $60.26	Facility		$25.12	$25.12	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $61.66	Professional		$15.14	$28.18	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $33.88	Professional		$21.38	$21.38	$33.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $51.29 / $100.00	Facility		$24.55	$51.29	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $102.33	Professional		$25.70	$60.26	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $64.57	Professional		$38.90	$43.65	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $44.67 / $45.71	Facility		$34.67	$44.67	$45.71
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $45.71	Professional		$38.02	$45.71	$45.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $97.72	Facility		$39.81	$66.07	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $48.98	Professional		$38.02	$38.02	$48.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $50.12	Professional		$37.15	$38.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $19.05 / $30.90	Facility		$0.31	$19.05	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $38.90	Professional		$18.20	$23.99	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $69.18	Professional		$32.36	$38.90	$69.18