Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $2,818.38 / $20,892.96	Facility		$43.65	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $79.43	Professional		$23.99	$26.92	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $51.29 / $74.13	Professional		$36.31	$51.29	$74.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $53.70 / $70.79	Facility		$31.62	$53.70	$70.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $67.61	Professional		$33.11	$53.70	$67.61
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 $40.74 / $48.98 / $50.12	Facility		$40.74	$48.98	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $72.44	Professional		$33.88	$56.23	$72.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $309.03	Facility		$245.47	$245.47	$309.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $63.10	Professional		$34.67	$47.86	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $41.69 / $70.79	Professional		$26.92	$41.69	$70.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $51.29	Professional		$26.92	$36.31	$51.29