Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $75.86	Facility		$30.90	$30.90	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $37.15	Professional		$30.20	$30.90	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $64.57	Facility		$31.62	$31.62	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $69.18 / $81.28	Facility		$33.11	$69.18	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $69.18 / $93.33	Professional		$41.69	$69.18	$93.33
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 $35.48 / $35.48 / $61.66	Facility		$35.48	$35.48	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $50.12	Professional		$35.48	$46.77	$50.12