Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $48.98 / $331.13	Professional		$38.02	$48.98	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $69.18	Professional		$39.81	$46.77	$69.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $87.10	Facility		$77.62	$77.62	$87.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $87.10	Professional		$77.62	$77.62	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $70.79	Professional		$58.88	$64.57	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $85.11	Facility		$75.86	$81.28	$85.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $85.11	Professional		$69.18	$75.86	$85.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $67.61 / $102.33	Facility		$6.31	$67.61	$102.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $67.61	Professional		$6.31	$8.71	$67.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $6.92	Professional		$5.75	$6.92	$6.92
United Facility/Professional Facility Modifier Low / Median / High Price $0.51 / $26.30 / $57.54	Facility		$0.51	$26.30	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $74.13	Professional		$36.31	$38.90	$74.13