Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $19.05	Facility		$7.08	$7.08	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $14.13 / $25.70	Professional		$7.08	$14.13	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $17.78 / $41.69	Facility		$7.94	$17.78	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $38.02	Professional		$7.76	$17.38	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $33.11	Professional		$14.13	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $46.77	Facility		$26.92	$38.90	$46.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $31.62 / $57.54	Professional		$11.75	$31.62	$57.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $26.92 / $47.86	Professional		$12.02	$26.92	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $21.38 / $42.66	Professional		$9.55	$21.38	$42.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.84 / $47.86	Professional		$18.62	$28.84	$47.86