Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $60.26	Facility		$21.88	$33.88	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.05 / $38.90	Professional		$10.00	$19.05	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $54.95	Professional		$13.49	$25.70	$54.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $20.89 / $44.67	Facility		$11.48	$20.89	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $41.69	Professional		$11.22	$19.95	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $70.79	Professional		$44.67	$50.12	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $50.12	Facility		$29.51	$40.74	$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 $18.20 / $35.48 / $63.10	Professional		$18.20	$35.48	$63.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.90 / $52.48	Professional		$16.98	$30.90	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.12 / $46.77	Professional		$13.49	$25.12	$46.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $29.51 / $50.12	Professional		$26.30	$29.51	$50.12