Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $128.82	Professional		$15.14	$19.05	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Facility		$20.89	$20.89	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $26.92	Professional		$17.78	$20.89	$26.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Facility		$30.20	$30.20	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $30.20	Professional		$24.55	$27.54	$30.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $34.67	Facility		$29.51	$31.62	$34.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $29.51 / $34.67	Professional		$28.18	$29.51	$34.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $26.92 / $40.74	Facility		$2.45	$26.92	$40.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.39 / $26.92	Professional		$2.45	$3.39	$26.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.95 / $2.95	Professional		$2.45	$2.95	$2.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.21 / $10.47 / $22.91	Facility		$0.21	$10.47	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $29.51	Professional		$14.13	$15.14	$29.51