Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $354.81 / $794.33	Facility		$74.13	$354.81	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $100.00	Professional		$51.29	$64.57	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $173.78 / $204.17	Facility		$81.28	$173.78	$204.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $363.08	Facility		$79.43	$79.43	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $134.90	Professional		$63.10	$79.43	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Facility		$70.79	$87.10	$138.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $138.04 / $234.42	Facility		$79.43	$138.04	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $95.50	Professional		$70.79	$70.79	$95.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $117.49 / $218.78	Facility		$83.18	$117.49	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $89.13	Professional		$67.61	$70.79	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $89.13	Professional		$33.11	$33.11	$89.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $79.43 / $141.25	Professional		$35.48	$79.43	$141.25