Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,412.54 / $17,782.79	Facility		$588.84	$1,412.54	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $812.83	Professional		$275.42	$346.74	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $467.74 / $562.34	Facility		$302.00	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,047.13	Professional		$288.40	$512.86	$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 $251.19 / $436.52 / $812.83	Professional		$251.19	$436.52	$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 / $446.68 / $478.63	Facility		$234.42	$446.68	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $912.01	Professional		$426.58	$676.08	$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 $407.38 / $602.56 / $812.83	Professional		$407.38	$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 $331.13 / $457.09 / $851.14	Professional		$331.13	$457.09	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $602.56	Professional		$323.59	$436.52	$602.56