Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $18,620.87	Facility		$371.54	$707.95	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $323.59 / $741.31	Professional		$177.83	$323.59	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $562.34	Facility		$338.84	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $436.52 / $977.24	Professional		$208.93	$436.52	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $831.76	Facility		$186.21	$371.54	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $812.83	Professional		$190.55	$380.19	$812.83
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 $416.87 / $602.56 / $741.31	Facility		$416.87	$602.56	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $467.74 / $501.19	Facility		$269.15	$467.74	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $501.19 / $933.25	Professional		$281.84	$501.19	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $1,445.44	Facility		$501.19	$758.58	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $812.83	Professional		$269.15	$478.63	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $2,238.72	Facility		$416.87	$1,047.13	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $407.38 / $812.83	Professional		$223.87	$407.38	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $676.08	Professional		$208.93	$398.11	$676.08