Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $3,548.13 / $18,620.87	Facility		$257.04	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $426.58	Professional		$107.15	$151.36	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $870.96	Facility		$302.00	$707.95	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $208.93 / $407.38	Professional		$120.23	$208.93	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $354.81	Facility		$125.89	$199.53	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $194.98 / $331.13	Professional		$125.89	$194.98	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $269.15	Facility		$190.55	$245.47	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Facility		$181.97	$181.97	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $380.19	Professional		$186.21	$288.40	$380.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $1,288.25	Facility		$489.78	$660.69	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $338.84	Professional		$186.21	$257.04	$338.84
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 $123.03 / $190.55 / $354.81	Professional		$123.03	$190.55	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $144.54 / $239.88	Professional		$125.89	$144.54	$239.88