Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $38.90 / $61.66	Facility		$27.54	$38.90	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $60.26	Professional		$15.14	$25.70	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $72.44	Professional		$19.95	$38.90	$72.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $60.26	Facility		$22.39	$38.90	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $60.26	Professional		$23.44	$39.81	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $32.36 / $33.11	Professional		$15.49	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $46.77 / $48.98	Facility		$35.48	$46.77	$48.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Facility		$31.62	$31.62	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $58.88	Professional		$19.95	$36.31	$58.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $56.23	Professional		$20.42	$33.88	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $53.70	Professional		$19.95	$30.90	$53.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $46.77	Professional		$28.18	$33.11	$46.77