Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $380.19	Professional		$46.77	$60.26	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $79.43	Facility		$64.57	$64.57	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $79.43	Professional		$54.95	$64.57	$79.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Facility		$91.20	$91.20	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $120.23	Professional		$91.20	$91.20	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $104.71	Professional		$75.86	$85.11	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Facility		$89.13	$89.13	$114.82
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $109.65	Professional		$89.13	$89.13	$109.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $83.18 / $120.23	Facility		$7.41	$83.18	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.23 / $83.18	Professional		$7.41	$10.23	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $32.36 / $66.07	Facility		$0.62	$32.36	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $89.13	Professional		$46.77	$48.98	$89.13