Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $245.47	Professional		$28.18	$33.88	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $48.98	Professional		$32.36	$38.02	$48.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Facility		$58.88	$58.88	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $63.10	Professional		$58.88	$58.88	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $56.23	Professional		$38.02	$46.77	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $61.66	Facility		$57.54	$57.54	$61.66
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $63.10	Professional		$54.95	$57.54	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $51.29 / $77.62	Facility		$4.79	$51.29	$77.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $51.29	Professional		$4.79	$5.75	$51.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $5.13	Professional		$4.17	$5.13	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $19.50 / $43.65	Facility		$0.33	$19.50	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $54.95	Professional		$28.18	$28.84	$54.95