Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $562.34 / $10,232.93	Facility		$141.25	$562.34	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $354.81 / $478.63 / $1,949.84	Facility	50	$354.81	$478.63	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $234.42 / $676.08	Professional		$75.86	$234.42	$676.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $398.11 / $407.38	Professional	50	$177.83	$398.11	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $165.96	Facility		$100.00	$100.00	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $691.83	Professional		$120.23	$251.19	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $194.98 / $575.44	Facility		$107.15	$194.98	$575.44
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $281.84 / $501.19 / $912.01	Facility	50	$281.84	$501.19	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $588.84	Professional		$112.20	$194.98	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $489.78	Facility		$281.84	$416.87	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $269.15 / $630.96	Professional		$107.15	$269.15	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $691.83	Facility		$239.88	$363.08	$691.83
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $363.08 / $537.03 / $1,047.13	Facility	50	$363.08	$537.03	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $251.19 / $588.84	Professional		$117.49	$251.19	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,862.09	Facility		$371.54	$524.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $602.56	Professional		$102.33	$234.42	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $389.05	Professional		$69.18	$131.83	$389.05