Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $158.49 / $346.74	Facility		$32.36	$158.49	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $43.65	Professional		$22.91	$28.18	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $91.20	Facility		$36.31	$77.62	$91.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $56.23	Facility		$28.18	$35.48	$56.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $60.26	Professional		$28.18	$35.48	$60.26
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 $31.62 / $38.90 / $61.66	Facility		$31.62	$38.90	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $61.66 / $104.71	Facility		$35.48	$61.66	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Professional		$31.62	$31.62	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $52.48 / $95.50	Facility		$37.15	$52.48	$95.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $31.62 / $38.90	Professional		$29.51	$31.62	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $41.69 / $41.69	Facility		$35.48	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $38.90	Professional		$14.79	$14.79	$38.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $63.10	Professional		$15.85	$35.48	$63.10