Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $676.08 / $17,782.79	Facility		$245.47	$676.08	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $162.18 / $371.54	Professional		$117.49	$162.18	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Facility		$239.88	$239.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $436.52	Professional		$131.83	$229.09	$436.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $208.93 / $371.54	Facility		$131.83	$208.93	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $354.81	Professional		$131.83	$208.93	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $295.12	Facility		$194.98	$275.42	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $380.19	Professional		$181.97	$281.84	$380.19
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 $169.82 / $251.19 / $346.74	Professional		$169.82	$251.19	$346.74
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 $141.25 / $199.53 / $363.08	Professional		$141.25	$199.53	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $257.04	Professional		$134.90	$181.97	$257.04