Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $380.19	Professional		$46.77	$57.54	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $81.28	Professional		$51.29	$60.26	$81.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Professional		$89.13	$89.13	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $77.62 / $97.72	Professional		$9.77	$77.62	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $95.50 / $123.03	Facility		$87.10	$95.50	$123.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $112.20	Professional		$77.62	$87.10	$112.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $83.18 / $117.49	Facility		$7.24	$83.18	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $83.18	Professional		$7.24	$10.00	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.23 / $10.23	Professional		$8.51	$10.23	$10.23
United Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $30.90 / $66.07	Facility		$0.65	$30.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $87.10	Professional		$44.67	$57.54	$87.10