Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,000.00 / $17,782.79	Facility		$34.67	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $158.49	Professional		$15.85	$36.31	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $87.10	Professional		$21.38	$41.69	$87.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $42.66 / $83.18	Facility		$26.92	$42.66	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $83.18	Professional		$26.92	$44.67	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $32.36 / $33.11	Professional		$21.38	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $67.61	Facility		$43.65	$63.10	$67.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $83.18	Professional		$23.44	$45.71	$83.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $208.93	Facility		$165.96	$165.96	$208.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $67.61	Professional		$23.44	$42.66	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $43.65 / $83.18	Professional		$22.39	$43.65	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $63.10	Professional		$33.11	$38.02	$63.10