Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $67.61 / $147.91	Facility		$12.88	$67.61	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $18.20	Professional		$8.91	$12.02	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $33.11 / $38.02	Facility		$15.49	$33.11	$38.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $23.99	Facility		$12.02	$14.79	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $25.12	Professional		$12.02	$14.79	$25.12
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 $13.49 / $16.22 / $26.30	Facility		$13.49	$16.22	$26.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.30 / $44.67	Facility		$14.79	$26.30	$44.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $17.78	Professional		$13.49	$13.49	$17.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $40.74	Facility		$15.49	$22.39	$40.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.49 / $16.60	Professional		$12.59	$13.49	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $17.78	Facility		$14.79	$17.78	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $16.60	Professional		$6.31	$6.31	$16.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.79 / $26.92	Professional		$6.76	$14.79	$26.92