Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $17,782.79	Facility		$501.19	$776.25	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $776.25	Professional		$239.88	$338.84	$776.25
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 $251.19 / $457.09 / $912.01	Professional		$251.19	$457.09	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $380.19 / $724.44	Facility		$223.87	$380.19	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $707.95	Professional		$229.09	$380.19	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $524.81 / $616.60	Facility		$380.19	$524.81	$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 $380.19 / $602.56 / $794.33	Professional		$380.19	$602.56	$794.33
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 $363.08 / $524.81 / $707.95	Professional		$363.08	$524.81	$707.95
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 $281.84 / $398.11 / $758.58	Professional		$281.84	$398.11	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $537.03	Professional		$281.84	$380.19	$537.03