Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $70.79	Facility		$38.90	$53.70	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $64.57	Professional		$20.89	$27.54	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.02 / $72.44	Professional		$24.55	$38.02	$72.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $54.95	Facility		$21.88	$33.11	$54.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $31.62 / $52.48	Professional		$21.38	$31.62	$52.48
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 $37.15 / $47.86 / $52.48	Facility		$37.15	$47.86	$52.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $45.71 / $81.28	Facility		$38.02	$45.71	$81.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $67.61	Professional		$30.20	$41.69	$67.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $58.88	Professional		$28.18	$40.74	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.88 / $21.88	Facility		$15.85	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $58.88	Professional		$23.99	$36.31	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $27.54 / $48.98	Professional		$6.92	$27.54	$48.98