Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $537.03	Facility		$61.66	$117.49	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $87.10	Professional		$32.36	$47.86	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $154.88	Professional		$43.65	$72.44	$154.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $104.71	Facility		$33.88	$53.70	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $104.71	Professional		$33.11	$54.95	$104.71
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 $67.61 / $97.72 / $102.33	Facility		$67.61	$97.72	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $70.79	Facility		$66.07	$66.07	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $128.82	Professional		$48.98	$83.18	$128.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $74.13 / $114.82	Professional		$47.86	$74.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Facility		$104.71	$141.25	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $69.18 / $123.03	Professional		$45.71	$69.18	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $102.33	Professional		$53.70	$60.26	$102.33