Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $812.83 / $14,454.40	Facility		$512.86	$812.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $741.31	Professional		$245.47	$323.59	$741.31
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 $263.03 / $478.63 / $933.25	Professional		$263.03	$478.63	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $741.31	Facility		$239.88	$398.11	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $724.44	Professional		$245.47	$398.11	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $549.54 / $616.60	Facility		$398.11	$549.54	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $398.11 / $416.87	Facility		$234.42	$398.11	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $812.83	Professional		$389.05	$616.60	$812.83
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 $371.54 / $549.54 / $724.44	Professional		$371.54	$549.54	$724.44
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 $302.00 / $407.38 / $776.25	Professional		$302.00	$407.38	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $549.54	Professional		$288.40	$389.05	$549.54