Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $10,232.93 / $28,183.83	Facility		$208.93	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $223.87	Professional		$141.25	$177.83	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $1,122.02	Facility		$165.96	$251.19	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $288.40 / $1,412.54	Facility		$138.04	$288.40	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $323.59	Professional		$138.04	$234.42	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $125.89 / $223.87	Facility		$20.89	$125.89	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $257.04 / $257.04	Facility		$151.36	$257.04	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $645.65	Professional		$257.04	$398.11	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $1,096.48	Facility		$436.52	$588.84	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $478.63	Professional		$223.87	$323.59	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $741.31 / $1,862.09	Facility		$501.19	$741.31	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $31.62	Professional		$16.22	$22.39	$31.62