Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.92 / $223.87	Professional		$25.70	$26.92	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $45.71	Professional		$22.39	$26.30	$45.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Facility		$53.70	$53.70	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $52.48	Professional		$42.66	$47.86	$52.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $54.95 / $60.26	Facility		$52.48	$54.95	$60.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $60.26	Professional		$48.98	$54.95	$60.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.79 / $46.77	Facility		$4.27	$4.79	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.03 / $46.77	Professional		$4.27	$6.03	$46.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $5.13	Professional		$4.17	$5.13	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $17.38 / $38.90	Facility		$0.32	$17.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $48.98	Professional		$23.99	$25.12	$48.98