Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.98 / $363.08	Facility		$8.13	$16.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $16.98	Professional		$7.94	$7.94	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $16.22	Facility		$7.76	$7.76	$16.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.00	Professional		$8.13	$8.13	$10.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.13 / $16.98	Facility		$5.01	$8.13	$16.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.13 / $15.85	Professional		$5.01	$8.13	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $75.86	Professional		$8.13	$9.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.51 / $15.49	Facility		$8.13	$8.51	$15.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $12.59	Facility		$9.33	$9.33	$12.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.77	Professional		$9.33	$9.33	$9.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.91 / $8.91	Professional		$8.13	$8.91	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.12	Professional		$8.13	$8.13	$9.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.72	Professional		$8.13	$8.13	$10.72