Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $239.88 / $323.59	Facility		$158.49	$239.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $275.42	Professional		$85.11	$123.03	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Facility		$173.78	$173.78	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $354.81	Professional		$97.72	$177.83	$354.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $169.82 / $309.03	Facility		$102.33	$169.82	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $288.40	Professional		$102.33	$169.82	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $234.42 / $251.19	Facility		$165.96	$234.42	$251.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $173.78	Facility		$154.88	$162.18	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $316.23	Professional		$134.90	$223.87	$316.23
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 $125.89 / $199.53 / $288.40	Professional		$125.89	$199.53	$288.40
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 $107.15 / $158.49 / $309.03	Professional		$107.15	$158.49	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $199.53	Professional		$87.10	$141.25	$199.53