Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $10,715.19	Facility		$457.09	$891.25	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $1,258.93	Professional		$288.40	$426.58	$1,258.93
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 $302.00 / $537.03 / $1,071.52	Professional		$302.00	$537.03	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $457.09 / $851.14	Facility		$257.04	$457.09	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $851.14	Professional		$269.15	$457.09	$851.14
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 $467.74 / $645.65 / $724.44	Facility		$467.74	$645.65	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $467.74 / $489.78	Facility		$234.42	$467.74	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $933.25	Professional		$446.68	$707.95	$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 / $851.14	Professional		$426.58	$616.60	$851.14
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 $346.74 / $478.63 / $912.01	Professional		$346.74	$478.63	$912.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $616.60	Professional		$331.13	$446.68	$616.60