Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $24.55 / $29.51	Facility		$15.14	$24.55	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.20	Professional		$14.13	$14.13	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.60	Professional		$14.13	$14.13	$16.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.60 / $35.48	Facility		$12.88	$16.60	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.60 / $30.90	Professional		$12.88	$16.60	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $70.79	Professional		$14.13	$15.85	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $14.45 / $21.38	Facility		$13.80	$14.45	$21.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.85 / $38.02	Facility		$12.59	$15.85	$38.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $17.78	Professional		$14.79	$14.79	$17.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $39.81	Facility		$13.80	$16.60	$39.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $15.49	Professional		$14.13	$15.49	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.85	Professional		$14.13	$14.13	$15.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $18.62	Professional		$14.13	$14.13	$18.62