Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $7.24 / $7,244.36	Facility		$3.98	$7.24	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $213.80	Professional		$3.02	$3.02	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.63 / $7.59	Facility		$3.39	$3.63	$7.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.37	Professional		$3.63	$3.63	$4.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $8.32 / $125.89	Facility		$3.63	$8.32	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $8.32 / $125.89	Professional		$3.63	$8.32	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.79 / $75.86	Professional		$3.98	$4.79	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.01 / $9.12	Facility		$4.37	$5.01	$9.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $7.24 / $15.14	Facility		$4.37	$7.24	$15.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.62 / $5.62	Professional		$4.68	$5.62	$5.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.91 / $69.18	Facility		$3.98	$8.91	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.98 / $4.47	Professional		$3.63	$3.98	$4.47
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.98	Professional		$3.63	$3.63	$3.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $4.68	Professional		$3.63	$3.63	$4.68