Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $154.88 / $194.98	Facility		$91.20	$154.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $162.18	Professional		$64.57	$79.43	$162.18
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 $69.18 / $117.49 / $218.78	Professional		$69.18	$117.49	$218.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $181.97	Facility		$57.54	$93.33	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $165.96	Professional		$58.88	$89.13	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $46.77	Professional		$32.36	$33.11	$46.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $151.36	Facility		$114.82	$138.04	$151.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $138.04 / $199.53	Facility		$95.50	$138.04	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $208.93	Professional		$100.00	$141.25	$208.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $204.17	Facility		$91.20	$107.15	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $102.33	Professional		$72.44	$74.13	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $107.15 / $186.21	Professional		$63.10	$107.15	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $138.04	Professional		$72.44	$79.43	$138.04