Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $10,232.93 / $28,183.83	Facility		$102.33	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $123.03	Professional		$64.57	$100.00	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $870.96	Facility		$501.19	$707.95	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $147.91	Professional		$123.03	$123.03	$147.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $63.10 / $91.20	Facility		$45.71	$63.10	$91.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Facility		$131.83	$131.83	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $302.00	Professional		$144.54	$208.93	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $537.03	Facility		$426.58	$426.58	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $251.19	Professional		$134.90	$190.55	$251.19
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 $104.71 / $147.91 / $269.15	Professional		$104.71	$147.91	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $138.04	Professional		$66.07	$97.72	$138.04