Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $37.15	Professional		$18.20	$23.99	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $38.02	Professional		$28.84	$28.84	$38.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $39.81	Facility		$20.89	$26.92	$39.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.92 / $38.90	Professional		$20.42	$26.92	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $48.98 / $51.29	Facility		$35.48	$48.98	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Professional		$30.90	$44.67	$81.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $97.72	Facility		$63.10	$63.10	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $58.88	Professional		$31.62	$41.69	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $138.04 / $190.55	Facility		$125.89	$138.04	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $69.18	Professional		$25.70	$38.02	$69.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $66.07	Professional		$34.67	$38.02	$66.07