Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $18.62	Professional		$7.94	$12.02	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $54.95	Facility		$14.79	$21.88	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $43.65	Professional		$14.79	$20.42	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $25.70	Facility		$17.78	$17.78	$25.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $21.88	Professional		$15.85	$15.85	$21.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.60 / $20.89	Professional		$15.14	$16.60	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.41 / $20.89	Professional		$6.31	$7.41	$20.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32