Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $144.54	Professional		$15.85	$19.95	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $29.51	Professional		$19.50	$22.91	$29.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Facility		$33.88	$33.88	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $40.74	Professional		$33.88	$33.88	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $33.88	Professional		$27.54	$30.90	$33.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $35.48	Facility		$33.11	$33.11	$35.48
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $37.15	Professional		$31.62	$33.88	$37.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $30.20 / $44.67	Facility		$2.69	$30.20	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $30.20	Professional		$2.69	$3.80	$30.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.69 / $2.69	Professional		$2.19	$2.69	$2.69
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $11.22 / $24.55	Facility		$0.21	$11.22	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $30.90	Professional		$15.49	$16.22	$30.90