Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $616.60 / $18,620.87	Facility		$275.42	$616.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $251.19 / $524.81	Professional		$131.83	$251.19	$524.81
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 $154.88 / $316.23 / $707.95	Professional		$154.88	$316.23	$707.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $288.40 / $645.65	Facility		$158.49	$288.40	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $588.84	Professional		$158.49	$288.40	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $537.03	Facility		$346.74	$489.78	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $338.84 / $363.08	Facility		$269.15	$338.84	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $676.08	Professional		$204.17	$363.08	$676.08
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 $194.98 / $346.74 / $588.84	Professional		$194.98	$346.74	$588.84
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 $169.82 / $302.00 / $588.84	Professional		$169.82	$302.00	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $436.52	Professional		$141.25	$269.15	$436.52