Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $12.88 / $32.36	Facility		$3.47	$12.88	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $14.13	Professional		$6.03	$8.91	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $23.44	Professional		$20.89	$20.89	$23.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $28.18 / $41.69	Facility		$12.88	$28.18	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $28.18 / $38.90	Professional		$12.88	$28.18	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $53.70	Facility		$21.88	$26.30	$53.70
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $38.02	Professional		$18.20	$26.30	$38.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $38.02	Facility		$16.60	$19.95	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $8.71 / $8.71	Facility		$0.14	$8.71	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $14.79	Professional		$8.13	$9.12	$14.79