Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $83.18 / $83.18	Facility		$75.86	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $85.11	Professional		$58.88	$67.61	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $147.91	Facility		$66.07	$89.13	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $141.25	Professional		$66.07	$87.10	$141.25
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 $102.33 / $144.54 / $147.91	Facility		$102.33	$144.54	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $213.80	Professional		$100.00	$147.91	$213.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $186.21	Professional		$95.50	$123.03	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $208.93	Professional		$83.18	$120.23	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $144.54	Professional		$75.86	$81.28	$144.54