Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $6,025.60 / $18,620.87	Facility		$316.23	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $524.81	Professional		$147.91	$208.93	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $912.01	Facility		$165.96	$251.19	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $501.19	Professional		$204.17	$275.42	$501.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $588.84	Facility		$181.97	$338.84	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $331.13 / $426.58	Professional		$186.21	$331.13	$426.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $331.13 / $363.08	Facility		$239.88	$331.13	$363.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $234.42 / $234.42	Facility		$112.20	$234.42	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $501.19	Professional		$234.42	$389.05	$501.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $575.44 / $1,096.48	Facility		$436.52	$575.44	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $436.52	Professional		$199.53	$316.23	$436.52
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 $181.97 / $281.84 / $501.19	Professional		$181.97	$281.84	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $194.98 / $323.59	Professional		$44.67	$194.98	$323.59