Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $134.90 / $295.12	Facility		$26.92	$134.90	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $40.74	Professional		$19.05	$23.99	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $75.86	Facility		$30.90	$66.07	$75.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $29.51 / $47.86	Facility		$23.44	$29.51	$47.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $50.12	Professional		$23.44	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $32.36 / $51.29	Facility		$26.92	$32.36	$51.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $51.29 / $89.13	Facility		$29.51	$51.29	$89.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Professional		$26.92	$26.92	$35.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $44.67 / $81.28	Facility		$30.90	$44.67	$81.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $33.11	Professional		$25.12	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $35.48	Facility		$29.51	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $13.80 / $33.11	Professional		$12.30	$13.80	$33.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $29.51 / $53.70	Professional		$13.18	$29.51	$53.70