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 / $41.69 / $54.95	Professional		$25.70	$41.69	$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 $34.67 / $93.33 / $158.49	Facility		$34.67	$93.33	$158.49
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 $74.13 / $114.82 / $218.78	Facility		$74.13	$114.82	$218.78
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 $104.71 / $141.25 / $251.19	Facility		$104.71	$141.25	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $74.13 / $123.03	Professional		$35.48	$74.13	$123.03