Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $109.65 / $144.54	Facility	26	$67.61	$109.65	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $234.42	Professional		$83.18	$102.33	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $275.42	Professional		$97.72	$158.49	$275.42
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $75.86 / $134.90	Facility	26	$45.71	$75.86	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $213.80	Professional		$83.18	$125.89	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $54.95	Professional		$30.20	$33.11	$54.95
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $102.33 / $104.71	Facility	26	$85.11	$102.33	$104.71
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $70.79 / $70.79	Facility	26	$70.79	$70.79	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $257.04	Professional		$123.03	$181.97	$257.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $269.15 / $269.15 / $269.15	Facility	26	$269.15	$269.15	$269.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $229.09	Professional		$109.65	$173.78	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $257.04	Professional		$95.50	$147.91	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $186.21	Professional		$97.72	$109.65	$186.21