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 $33.11 / $44.67 / $53.70	Professional		$33.11	$44.67	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $69.18	Professional		$15.49	$19.50	$69.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $537.03	Facility		$114.82	$316.23	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
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 $38.90 / $57.54 / $77.62	Facility		$38.90	$57.54	$77.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $63.10	Facility		$60.26	$60.26	$63.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $117.49	Professional		$60.26	$89.13	$117.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $691.83	Facility		$239.88	$363.08	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $104.71	Professional		$53.70	$77.62	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $501.19 / $912.01	Facility		$371.54	$501.19	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $134.90	Professional		$39.81	$77.62	$134.90