Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $18,620.87	Facility		$478.63	$812.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $831.76	Professional		$275.42	$354.81	$831.76
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 $295.12 / $537.03 / $1,047.13	Professional		$295.12	$537.03	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $831.76	Facility		$251.19	$436.52	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $812.83	Professional		$257.04	$446.68	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $691.83	Facility		$436.52	$602.56	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $467.74	Facility		$234.42	$446.68	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $933.25	Professional		$436.52	$691.83	$933.25
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 $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
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 $338.84 / $467.74 / $870.96	Professional		$338.84	$467.74	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $630.96	Professional		$331.13	$446.68	$630.96