Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $2,818.38 / $18,620.87	Facility		$64.57	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $123.03	Professional		$30.90	$44.67	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $112.20	Professional		$44.67	$72.44	$112.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $81.28 / $616.60	Facility		$46.77	$81.28	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $75.86 / $234.42	Professional		$44.67	$75.86	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $69.18	Facility		$56.23	$66.07	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $47.86 / $47.86	Facility		$46.77	$47.86	$47.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $100.00	Professional		$47.86	$79.43	$100.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Facility		$446.68	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $89.13	Professional		$47.86	$67.61	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $2,041.74	Facility		$645.65	$891.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $100.00	Professional		$30.90	$54.95	$100.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $57.54	Professional		$30.20	$40.74	$57.54