Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $269.15	Professional		$30.20	$37.15	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $52.48	Professional		$34.67	$40.74	$52.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $61.66 / $63.10	Professional		$54.95	$61.66	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $53.70 / $83.18	Facility		$5.13	$53.70	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.08 / $53.70	Professional		$5.13	$7.08	$53.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $5.37	Professional		$4.37	$5.37	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $0.35 / $20.89 / $46.77	Facility		$0.35	$20.89	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $58.88	Professional		$29.51	$30.90	$58.88