Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $17.78 / $30.20	Facility	26	$8.91	$17.78	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $107.15	Professional		$25.70	$36.31	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $56.23 / $102.33	Professional		$29.51	$56.23	$102.33
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $9.77 / $15.85 / $218.78	Facility	26	$9.77	$15.85	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $87.10	Professional		$36.31	$63.10	$87.10
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 26 Low / Median / High Price $13.18 / $15.85 / $16.60	Facility	26	$13.18	$15.85	$16.60
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	26	$10.96	$10.96	$10.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $74.13 / $100.00	Professional		$45.71	$74.13	$100.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	26	$158.49	$158.49	$158.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.18 / $93.33	Professional		$46.77	$69.18	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $34.67 / $85.11	Professional		$25.70	$34.67	$85.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $69.18	Professional		$36.31	$41.69	$69.18