Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $70.79	Facility		$34.67	$45.71	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $69.18	Professional		$17.78	$28.84	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $46.77 / $83.18	Professional		$24.55	$46.77	$83.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $46.77 / $69.18	Facility		$25.12	$46.77	$69.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $48.98 / $69.18	Professional		$28.18	$48.98	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $33.11	Professional		$17.78	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $51.29 / $54.95	Facility		$37.15	$51.29	$54.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $37.15	Facility		$36.31	$36.31	$37.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $67.61	Professional		$25.12	$45.71	$67.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $42.66 / $63.10	Professional		$25.70	$42.66	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $66.07	Professional		$23.99	$36.31	$66.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $53.70	Professional		$32.36	$38.02	$53.70