Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $107.15	Professional		$12.02	$15.85	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.38 / $22.91	Professional		$14.79	$17.38	$22.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Facility		$25.70	$25.70	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Professional		$25.70	$25.70	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.39 / $24.55	Professional		$20.42	$22.39	$24.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $25.70 / $28.84	Facility		$24.55	$25.70	$28.84
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $28.84	Professional		$23.44	$24.55	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $22.39 / $33.88	Facility		$2.04	$22.39	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.82 / $22.39	Professional		$2.04	$2.82	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.40 / $2.40	Professional		$1.95	$2.40	$2.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $8.71 / $19.05	Facility		$0.17	$8.71	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $24.55	Professional		$11.48	$12.88	$24.55