Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $100.00	Professional		$10.96	$14.13	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $19.95	Professional		$12.30	$14.45	$19.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $21.88	Professional		$14.45	$18.20	$21.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $23.99	Facility		$22.39	$22.91	$23.99
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $22.91 / $25.70	Professional		$21.38	$22.91	$25.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $20.42 / $31.62	Facility		$1.95	$20.42	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.69 / $20.42	Professional		$1.95	$2.69	$20.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.91 / $1.91	Professional		$1.58	$1.91	$1.91
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $7.94 / $17.78	Facility		$0.14	$7.94	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.48 / $21.88	Professional		$10.72	$11.48	$21.88