Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $77.62 / $426.58	Facility		$30.90	$77.62	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $69.18	Professional		$16.98	$25.12	$69.18
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Facility		$107.15	$107.15	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $89.13	Professional		$26.92	$33.88	$89.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.02 / $83.18	Facility		$28.18	$38.02	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $75.86	Professional		$28.18	$38.02	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $58.88 / $63.10	Facility		$42.66	$58.88	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $87.10	Facility		$39.81	$61.66	$87.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $79.43	Professional		$32.36	$56.23	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $89.13	Facility		$39.81	$47.86	$89.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $44.67	Professional		$30.90	$33.11	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $77.62	Professional		$28.18	$33.88	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $60.26	Professional		$31.62	$35.48	$60.26