Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $371.54	Professional		$44.67	$56.23	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $74.13	Professional		$37.15	$43.65	$74.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Facility		$89.13	$89.13	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $112.20	Professional		$89.13	$89.13	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $93.33	Professional		$75.86	$83.18	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $89.13 / $107.15	Facility		$87.10	$89.13	$107.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $102.33	Professional		$87.10	$89.13	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.13 / $79.43	Facility		$7.08	$8.13	$79.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $79.43	Professional		$7.08	$10.00	$79.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $9.55	Professional		$7.76	$9.55	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $29.51 / $61.66	Facility		$0.56	$29.51	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $81.28	Professional		$42.66	$42.66	$81.28