Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $91.20 / $281.84	Facility		$66.07	$91.20	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $117.49	Professional		$28.18	$44.67	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $107.15 / $141.25	Facility		$44.67	$107.15	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $66.07	Professional		$24.55	$51.29	$66.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $128.82	Facility		$47.86	$57.54	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $128.82	Professional		$47.86	$60.26	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $75.86	Professional		$42.66	$51.29	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $91.20	Facility		$47.86	$47.86	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $85.11 / $144.54	Facility		$47.86	$85.11	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $57.54	Professional		$43.65	$43.65	$57.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $131.83	Facility		$50.12	$72.44	$131.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $53.70	Professional		$40.74	$43.65	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $57.54 / $57.54	Facility		$47.86	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $54.95	Professional		$20.42	$20.42	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $47.86 / $87.10	Professional		$21.88	$47.86	$87.10