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 $67.61 / $95.50 / $407.38	Professional		$67.61	$95.50	$407.38
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 $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $39.81 / $53.70 / $83.18	Facility		$39.81	$53.70	$83.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $131.83	Facility		$123.03	$123.03	$131.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $194.98 / $275.42	Professional		$131.83	$194.98	$275.42
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 $125.89 / $177.83 / $234.42	Professional		$125.89	$177.83	$234.42
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 / $138.04 / $251.19	Professional		$97.72	$138.04	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $91.20 / $125.89	Professional		$57.54	$91.20	$125.89