Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $70.79 / $154.88	Facility		$46.77	$70.79	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $46.77	Professional		$22.91	$30.20	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $3.02 / $75.86	Facility		$1.23	$3.02	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.51 / $52.48	Professional		$14.45	$29.51	$52.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $50.12 / $131.83	Facility		$28.84	$50.12	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $97.72	Professional		$28.84	$50.12	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $75.86	Professional		$39.81	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.88 / $79.43	Facility		$48.98	$58.88	$79.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $53.70	Facility		$38.90	$38.90	$53.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $104.71	Professional		$38.90	$75.86	$104.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $478.63 / $933.25	Facility		$316.23	$478.63	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $97.72	Professional		$52.48	$74.13	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $645.65 / $1,148.15	Facility		$478.63	$645.65	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $39.81	Professional		$10.96	$17.78	$39.81