Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $851.14 / $17,782.79	Facility		$562.34	$851.14	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $870.96	Professional		$263.03	$371.54	$870.96
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 $281.84 / $501.19 / $977.24	Professional		$281.84	$501.19	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $776.25	Facility		$245.47	$416.87	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $758.58	Professional		$251.19	$426.58	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $575.44 / $645.65	Facility		$416.87	$575.44	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $416.87 / $436.52	Facility		$234.42	$416.87	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $851.14	Professional		$407.38	$645.65	$851.14
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 $398.11 / $575.44 / $758.58	Professional		$398.11	$575.44	$758.58
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 $316.23 / $436.52 / $812.83	Professional		$316.23	$436.52	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $562.34	Professional		$295.12	$398.11	$562.34