Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $199.53	Professional		$69.18	$93.33	$199.53
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 $114.82 / $114.82 / $138.04	Professional		$114.82	$114.82	$138.04
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 $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $83.18	Facility		$38.90	$52.48	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $128.82	Facility		$120.23	$120.23	$128.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $269.15	Professional		$128.82	$190.55	$269.15
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 $123.03 / $169.82 / $239.88	Professional		$123.03	$169.82	$239.88
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 $97.72 / $134.90 / $251.19	Professional		$97.72	$134.90	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $89.13 / $125.89	Professional		$56.23	$89.13	$125.89