Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $123.03	Professional		$14.13	$16.98	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $24.55	Facility		$18.62	$18.62	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $24.55	Professional		$15.85	$18.62	$24.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $26.92	Professional		$17.78	$20.42	$26.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.84 / $30.20	Facility		$28.18	$28.84	$30.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $28.84	Professional		$25.70	$28.84	$28.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $25.12 / $38.90	Facility		$2.34	$25.12	$38.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $5.01 / $25.12	Professional		$2.34	$5.01	$25.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.40 / $2.40	Professional		$1.95	$2.40	$2.40
United Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $9.77 / $21.88	Facility		$0.17	$9.77	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $14.13 / $26.92	Professional		$13.18	$14.13	$26.92