Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,288.25 / $17,782.79	Facility		$467.74	$1,288.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $616.60	Professional		$208.93	$275.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $562.34	Facility		$302.00	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $416.87 / $776.25	Professional		$229.09	$416.87	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $331.13 / $616.60	Facility		$208.93	$331.13	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $616.60	Professional		$213.80	$346.74	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $489.78	Facility		$316.23	$446.68	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $323.59 / $338.84	Facility		$234.42	$323.59	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $707.95	Professional		$338.84	$512.86	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $630.96	Professional		$323.59	$467.74	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $660.69	Professional		$263.03	$346.74	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $489.78	Professional		$257.04	$316.23	$489.78