Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $131.83	Facility		$30.90	$43.65	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $64.57	Professional		$15.14	$20.89	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $50.12 / $66.07	Facility		$23.44	$50.12	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.99 / $30.90	Professional		$13.49	$23.99	$30.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.18 / $63.10	Facility		$22.91	$28.18	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $64.57	Professional		$22.91	$30.90	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $75.86	Professional		$19.95	$23.99	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $42.66	Facility		$22.91	$22.91	$42.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $67.61	Facility		$22.91	$39.81	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $27.54	Professional		$20.42	$20.42	$27.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $63.10	Facility		$23.99	$33.88	$63.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $25.70	Professional		$19.50	$20.42	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $27.54 / $27.54	Facility		$22.91	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $27.54	Professional		$9.55	$11.75	$27.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $22.91 / $40.74	Professional		$10.23	$22.91	$40.74