Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $33,884.42	Facility		$36.31	$67.61	$33,884.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $14,454.40	Professional		$33.11	$33.88	$14,454.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $33.88 / $64.57	Facility		$31.62	$33.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $83.18	Facility		$33.88	$37.15	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $70.79	Professional		$33.11	$35.48	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $37.15 / $75.86	Professional		$33.11	$37.15	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $36.31 / $61.66	Facility		$33.11	$36.31	$61.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $32.36 / $75.86	Facility		$28.84	$32.36	$75.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $41.69	Professional		$34.67	$34.67	$41.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $39.81 / $97.72	Facility		$28.18	$39.81	$97.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $41.69	Professional		$33.88	$37.15	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.02	Professional		$33.88	$33.88	$38.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $43.65	Professional		$33.88	$33.88	$43.65