Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $281.84 / $338.84	Facility		$14.13	$281.84	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $21.38	Professional		$12.02	$12.02	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $24.55	Facility		$12.02	$12.02	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.38 / $562.34	Facility		$10.23	$21.38	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $17.78 / $25.70	Professional		$9.77	$17.78	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $75.86	Professional		$30.20	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.45 / $19.50	Facility		$12.88	$14.45	$19.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $10.47 / $15.14	Facility		$7.41	$10.47	$15.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $16.60	Professional		$15.14	$15.14	$16.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.77 / $125.89	Facility		$8.91	$9.77	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $131.83	Professional		$125.89	$125.89	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $125.89 / $125.89	Professional		$12.88	$125.89	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $257.04	Professional		$134.90	$154.88	$257.04