Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $29.51	Facility		$12.02	$12.02	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.02	Professional		$6.03	$7.94	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $26.92 / $38.02	Facility		$11.75	$26.92	$38.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $26.30 / $35.48	Professional		$11.75	$26.30	$35.48
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 $19.95 / $20.42 / $24.55	Facility		$19.95	$20.42	$24.55
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.98 / $16.98	Facility		$16.60	$16.98	$16.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $35.48	Professional		$16.98	$24.55	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $35.48	Facility		$15.49	$18.62	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $7.94 / $7.94	Facility		$0.13	$7.94	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $13.80	Professional		$7.59	$8.32	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $39.81	Professional		$18.62	$22.39	$39.81