Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9,772.37 / $10,715.19	Facility		$8.91	$9,772.37	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $20.89	Professional		$6.03	$8.91	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $18.62	Facility		$9.77	$9.77	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $20.42 / $61.66	Facility		$3.55	$20.42	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $13.49 / $29.51	Professional		$2.51	$13.49	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.39 / $22.91	Facility		$16.98	$22.39	$22.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $32.36 / $63.10	Facility		$17.78	$32.36	$63.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $58.88	Facility		$20.42	$24.55	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $11.48	Professional		$4.90	$7.41	$11.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $14.79	Professional		$11.48	$11.48	$14.79