Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $114.82 / $190.55	Facility	26	$61.66	$114.82	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $295.12	Professional		$93.33	$141.25	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $446.68	Professional		$117.49	$234.42	$446.68
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $102.33 / $7,413.10	Facility	26	$61.66	$102.33	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $363.08	Professional		$144.54	$251.19	$363.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $102.33 / $107.15	Facility	26	$87.10	$102.33	$107.15
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $72.44	Facility	26	$70.79	$70.79	$72.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $338.84	Professional		$154.88	$257.04	$338.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $323.59	Professional		$158.49	$245.47	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $407.38	Professional		$123.03	$173.78	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $223.87	Professional		$117.49	$134.90	$223.87