Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $17,782.79	Facility		$707.95	$1,071.52	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $416.87 / $977.24	Professional		$331.13	$416.87	$977.24
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 $354.81 / $630.96 / $1,230.27	Professional		$354.81	$630.96	$1,230.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $954.99	Facility		$263.03	$512.86	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $954.99	Professional		$295.12	$524.81	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $812.83	Facility		$524.81	$724.44	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $537.03 / $549.54	Facility		$234.42	$537.03	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,071.52	Professional		$512.86	$812.83	$1,071.52
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 $501.19 / $724.44 / $977.24	Professional		$501.19	$724.44	$977.24
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 $398.11 / $549.54 / $1,023.29	Professional		$398.11	$549.54	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83