Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.76 / $1,479.11	Facility		$4.57	$7.76	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $977.24	Professional		$3.98	$3.98	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.47 / $8.71	Facility		$4.17	$4.47	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.50	Professional		$4.47	$4.47	$5.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.47 / $10.96	Facility		$3.89	$4.47	$10.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.47 / $9.77	Professional		$3.63	$4.47	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.03 / $75.86	Professional		$4.47	$6.03	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.90 / $8.32	Facility		$4.47	$4.90	$8.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.03 / $11.75	Facility		$3.89	$6.03	$11.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.50	Professional		$5.13	$5.13	$5.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.13 / $12.30	Facility		$4.27	$5.13	$12.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.90 / $4.90	Professional		$4.47	$4.90	$4.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.01	Professional		$4.47	$4.47	$5.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $5.75	Professional		$4.47	$4.47	$5.75