Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $741.31 / $10,232.93	Facility		$186.21	$741.31	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $489.78	Professional		$95.50	$154.88	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Facility		$194.98	$194.98	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $389.05	Professional		$112.20	$190.55	$389.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $186.21 / $338.84	Facility		$114.82	$186.21	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $316.23	Professional		$114.82	$186.21	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $275.42	Facility		$190.55	$257.04	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $177.83 / $190.55	Facility		$173.78	$177.83	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $346.74	Professional		$141.25	$245.47	$346.74
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 $134.90 / $208.93 / $316.23	Professional		$134.90	$208.93	$316.23
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 $117.49 / $177.83 / $338.84	Professional		$117.49	$177.83	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $213.80	Professional		$91.20	$151.36	$213.80