Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,000.00 / $4,073.80	Professional		$316.23	$1,000.00	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.13 / $0.14	Facility		$0.04	$0.13	$0.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Facility		$0.91	$0.91	$0.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $0.91 / $0.91	Professional		$0.91	$0.91	$0.91
United Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Facility		$0.09	$0.09	$0.09
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02