Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Facility		$12.02	$12.02	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $50.12	Professional		$10.00	$14.13	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $54.95	Facility		$21.88	$33.88	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $53.70	Professional		$21.88	$33.88	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $60.26	Professional		$21.38	$32.36	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $22.39	Facility		$20.89	$20.89	$22.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $54.95	Facility		$26.30	$38.90	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $20.89	Professional		$17.78	$17.78	$20.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $23.99	Professional		$18.62	$18.62	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.12 / $17.38	Professional		$7.08	$9.12	$17.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $32.36	Professional		$18.62	$18.62	$32.36