Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,513.56 / $17,782.79	Facility		$316.23	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $501.19	Professional		$134.90	$213.80	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $338.84 / $724.44	Facility		$223.87	$338.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $602.56	Professional		$190.55	$316.23	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $645.65	Facility		$218.78	$354.81	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $588.84	Professional		$218.78	$354.81	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $446.68 / $478.63	Facility		$309.03	$446.68	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $323.59	Facility		$177.83	$316.23	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $588.84	Professional		$208.93	$380.19	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $489.78	Professional		$204.17	$323.59	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $575.44	Professional		$194.98	$302.00	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $239.88 / $331.13	Professional		$128.82	$239.88	$331.13