Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $602.56 / $18,620.87	Facility		$316.23	$602.56	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $275.42 / $616.60	Professional		$151.36	$275.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $794.33	Professional		$177.83	$363.08	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $354.81 / $676.08	Facility		$158.49	$354.81	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $660.69	Professional		$158.49	$346.74	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $602.56	Facility		$363.08	$537.03	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $380.19 / $407.38	Facility		$158.49	$380.19	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $758.58	Professional		$239.88	$426.58	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $457.09 / $851.14	Facility		$338.84	$457.09	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $660.69	Professional		$223.87	$389.05	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $616.60 / $1,513.56	Facility		$416.87	$616.60	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $346.74 / $660.69	Professional		$199.53	$346.74	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $489.78	Professional		$162.18	$309.03	$489.78