Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $812.83 / $11,481.54	Facility		$281.84	$812.83	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $426.58	Professional		$134.90	$186.21	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $316.23	Facility		$263.03	$263.03	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $501.19	Professional		$147.91	$263.03	$501.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $416.87	Facility		$144.54	$223.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $398.11	Professional		$144.54	$234.42	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $309.03 / $338.84	Facility		$223.87	$309.03	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $234.42	Facility		$218.78	$218.78	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $436.52	Professional		$208.93	$323.59	$436.52
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 $194.98 / $288.40 / $398.11	Professional		$194.98	$288.40	$398.11
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 $162.18 / $223.87 / $416.87	Professional		$162.18	$223.87	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $281.84	Professional		$147.91	$199.53	$281.84