Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $851.14 / $17,782.79	Facility		$457.09	$851.14	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $676.08	Professional		$223.87	$302.00	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $436.52 / $851.14	Professional		$234.42	$436.52	$851.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $363.08 / $676.08	Facility		$218.78	$363.08	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $660.69	Professional		$223.87	$363.08	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $501.19 / $562.34	Facility		$363.08	$501.19	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $380.19	Facility		$234.42	$363.08	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $741.31	Professional		$346.74	$562.34	$741.31
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 $338.84 / $489.78 / $660.69	Professional		$338.84	$489.78	$660.69
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 $269.15 / $371.54 / $707.95	Professional		$269.15	$371.54	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $489.78	Professional		$263.03	$354.81	$489.78