Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $173.78	Facility		$102.33	$134.90	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $134.90	Professional		$91.20	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $323.59	Facility		$97.72	$162.18	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $295.12	Professional		$93.33	$144.54	$295.12
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 $204.17 / $263.03 / $316.23	Facility		$204.17	$263.03	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Facility		$162.18	$162.18	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $245.47 / $389.05	Professional		$165.96	$245.47	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $331.13	Professional		$162.18	$223.87	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $323.59	Professional		$125.89	$169.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $331.13	Professional		$173.78	$190.55	$331.13