Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $54.95	Professional		$25.70	$39.81	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $47.86	Professional		$15.49	$19.50	$47.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $154.88 / $275.42	Facility		$56.23	$154.88	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $64.57	Professional		$32.36	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $51.29	Facility		$23.99	$36.31	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Facility		$45.71	$45.71	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $97.72	Professional		$45.71	$67.61	$97.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $331.13	Facility		$120.23	$173.78	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $95.50	Professional		$45.71	$57.54	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $223.87 / $398.11	Facility		$165.96	$223.87	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $123.03	Professional		$35.48	$74.13	$123.03