Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $912.01 / $10,715.19	Facility		$436.52	$912.01	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $870.96	Professional		$275.42	$380.19	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $630.96 / $758.58	Facility		$302.00	$630.96	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,047.13	Professional		$295.12	$524.81	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $812.83	Facility		$251.19	$436.52	$812.83
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 / $204.17	Professional		$32.36	$33.11	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $616.60 / $691.83	Facility		$446.68	$616.60	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $467.74	Facility		$234.42	$457.09	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $912.01	Professional		$426.58	$691.83	$912.01
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 $416.87 / $602.56 / $812.83	Professional		$416.87	$602.56	$812.83
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 / $457.09 / $870.96	Professional		$338.84	$457.09	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $602.56	Professional		$316.23	$426.58	$602.56