Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $54.95 / $138.04	Professional		$36.31	$54.95	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $162.18	Professional		$45.71	$83.18	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $100.00 / $141.25	Professional		$51.29	$100.00	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $33.11	Professional		$29.51	$32.36	$33.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $158.49	Professional		$72.44	$117.49	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $151.36	Professional		$75.86	$112.20	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $58.88 / $134.90	Professional		$44.67	$58.88	$134.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $112.20	Professional		$58.88	$67.61	$112.20