Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $147.91 / $239.88	Facility	26	$67.61	$147.91	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,258.93	Professional		$354.81	$524.81	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $1,778.28	Professional		$512.86	$1,023.29	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $162.18 / $1,174.90	Facility	26	$91.20	$162.18	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,445.44	Professional		$549.54	$1,023.29	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $138.04 / $141.25	Facility	26	$112.20	$138.04	$141.25
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $97.72	Facility	26	$93.33	$93.33	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,584.89	Professional		$741.31	$1,174.90	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $467.74 / $467.74	Facility	26	$467.74	$467.74	$467.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,479.11	Professional		$691.83	$1,071.52	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $1,288.25	Professional		$380.19	$588.84	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48