Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,290.87 / $17,782.79	Facility		$316.23	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $537.03	Professional		$154.88	$251.19	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $467.74 / $562.34	Facility		$389.05	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $724.44	Professional		$190.55	$338.84	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $645.65	Facility		$194.98	$338.84	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $331.13 / $575.44	Professional		$194.98	$331.13	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $512.86	Facility		$323.59	$478.63	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $346.74	Facility		$338.84	$338.84	$346.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $407.38 / $630.96	Professional		$229.09	$407.38	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $354.81 / $575.44	Professional		$218.78	$354.81	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,897.79 / $9,332.54	Facility		$891.25	$4,897.79	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $602.56	Professional		$194.98	$323.59	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $380.19	Professional		$151.36	$269.15	$380.19