Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $52.48 / $147.91	Facility		$27.54	$52.48	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $56.23	Professional		$15.14	$21.88	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $120.23	Facility		$60.26	$107.15	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $74.13	Professional		$22.39	$38.02	$74.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $27.54 / $60.26	Facility		$16.98	$27.54	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $27.54 / $54.95	Professional		$18.20	$27.54	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $32.36 / $33.11	Professional		$15.85	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $48.98	Facility		$37.15	$45.71	$48.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $45.71 / $67.61	Facility		$31.62	$45.71	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $69.18	Professional		$33.11	$46.77	$69.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $69.18	Facility		$30.20	$36.31	$69.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $60.26	Professional		$27.54	$38.02	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $61.66	Professional		$20.89	$34.67	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $46.77	Professional		$24.55	$27.54	$46.77