Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $27.54	Facility		$25.70	$25.70	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $34.67 / $870.96	Professional		$22.39	$34.67	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $81.28	Facility		$33.11	$64.57	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $66.07 / $81.28	Professional		$34.67	$66.07	$81.28
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 $51.29 / $61.66 / $63.10	Facility		$51.29	$61.66	$63.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $43.65	Facility		$42.66	$42.66	$43.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $91.20	Professional		$43.65	$70.79	$91.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $81.28	Professional		$43.65	$58.88	$81.28
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 $32.36 / $51.29 / $91.20	Professional		$32.36	$51.29	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $52.48	Professional		$27.54	$37.15	$52.48