Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $41.69 / $74.13	Facility		$30.90	$41.69	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.90 / $36.31	Professional		$28.84	$30.90	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $63.10	Facility		$31.62	$31.62	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $97.72	Facility		$25.12	$38.02	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $77.62	Professional		$23.99	$38.02	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $75.86	Professional		$30.90	$33.88	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $44.67 / $67.61	Facility		$28.18	$44.67	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $109.65	Facility		$33.11	$33.11	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $83.18	Facility		$28.84	$34.67	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $34.67	Professional		$30.90	$30.90	$34.67