Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,570.88 / $18,620.87	Facility		$208.93	$4,570.88	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $562.34	Professional		$154.88	$218.78	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $186.21 / $229.09	Facility		$120.23	$186.21	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $288.40	Facility		$269.15	$269.15	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $602.56	Professional		$288.40	$426.58	$602.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $512.86	Professional		$275.42	$380.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $630.96	Professional		$199.53	$295.12	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $416.87	Professional		$223.87	$257.04	$416.87