Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $645.65 / $18,620.87	Facility		$338.84	$645.65	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $616.60	Professional		$162.18	$281.84	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Facility		$338.84	$338.84	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $812.83	Professional		$190.55	$380.19	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $724.44	Facility		$194.98	$371.54	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $676.08	Professional		$194.98	$371.54	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $616.60	Facility		$371.54	$524.81	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $416.87	Facility		$269.15	$389.05	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $776.25	Professional		$257.04	$457.09	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $1,445.44	Facility		$549.54	$758.58	$1,445.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $676.08	Professional		$245.47	$398.11	$676.08
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 $213.80 / $346.74 / $676.08	Professional		$213.80	$346.74	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $489.78	Professional		$169.82	$323.59	$489.78