Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $229.09	Professional		$28.18	$30.90	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $47.86	Professional		$30.90	$36.31	$47.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $63.10	Facility		$57.54	$57.54	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $63.10	Professional		$57.54	$57.54	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $57.54	Professional		$38.02	$47.86	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $61.66	Facility		$52.48	$56.23	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $56.23 / $58.88	Professional		$53.70	$56.23	$58.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $50.12 / $75.86	Facility		$4.57	$50.12	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $50.12	Professional		$4.57	$5.75	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
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 / $18.20 / $41.69	Facility		$0.32	$18.20	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.18 / $50.12	Professional		$26.30	$28.18	$50.12