Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $32.36 / $234.42	Professional		$28.18	$32.36	$234.42
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 $56.23 / $56.23 / $67.61	Facility		$56.23	$56.23	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $67.61	Professional		$56.23	$56.23	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $69.18	Professional		$56.23	$63.10	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $64.57	Facility		$53.70	$53.70	$64.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $53.70 / $63.10	Professional		$51.29	$53.70	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $50.12 / $74.13	Facility		$4.47	$50.12	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.17 / $50.12	Professional		$4.47	$6.17	$50.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $17.78 / $43.65	Facility		$0.35	$17.78	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $27.54 / $48.98	Professional		$25.70	$27.54	$48.98