Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $141.25	Professional		$15.85	$19.05	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $28.18	Professional		$18.20	$21.38	$28.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $34.67	Facility		$33.11	$33.11	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $34.67	Professional		$33.11	$33.11	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $31.62	Professional		$20.89	$26.30	$31.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $34.67	Facility		$32.36	$32.36	$34.67
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $33.11	Professional		$29.51	$32.36	$33.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $28.84 / $43.65	Facility		$2.69	$28.84	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.72 / $28.84	Professional		$2.69	$3.72	$28.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.82 / $2.82	Professional		$2.29	$2.82	$2.82
United Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $10.96 / $24.55	Facility		$0.19	$10.96	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $30.90	Professional		$15.49	$16.22	$30.90