Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $58.88	Facility		$50.12	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $58.88	Professional		$40.74	$45.71	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $61.66 / $100.00	Facility		$45.71	$61.66	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $95.50	Professional		$45.71	$60.26	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $102.33	Facility		$70.79	$97.72	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $70.79 / $70.79	Facility		$67.61	$70.79	$70.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $144.54	Professional		$67.61	$100.00	$144.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $123.03	Professional		$64.57	$83.18	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $141.25	Professional		$57.54	$83.18	$141.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $95.50	Professional		$50.12	$53.70	$95.50