Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $95.50	Professional		$40.74	$66.07	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $239.88	Professional		$33.88	$89.13	$239.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $72.44 / $173.78	Facility		$40.74	$72.44	$173.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $74.13 / $173.78	Professional		$42.66	$74.13	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $125.89 / $154.88	Facility		$61.66	$125.89	$154.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $234.42	Professional		$104.71	$173.78	$234.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $144.54	Professional		$67.61	$79.43	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $181.97	Professional		$48.98	$93.33	$181.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $114.82	Professional		$81.28	$95.50	$114.82