Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $52.48	Facility		$21.88	$26.30	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $28.18	Professional		$20.89	$21.88	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $23.44 / $44.67	Facility		$22.39	$23.44	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $41.69 / $102.33	Facility		$23.44	$41.69	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $63.10	Professional		$24.55	$38.90	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $37.15 / $41.69	Facility		$30.20	$37.15	$41.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $66.07	Facility		$20.89	$26.92	$66.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $67.61	Facility		$23.44	$28.18	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $24.55	Professional		$21.88	$21.88	$24.55