Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,818.38 / $18,620.87	Facility		$158.49	$2,818.38	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $309.03	Professional		$87.10	$144.54	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $407.38	Professional		$114.82	$229.09	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $223.87 / $346.74	Facility		$134.90	$223.87	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $354.81	Professional		$134.90	$223.87	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $288.40	Facility		$190.55	$263.03	$288.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $338.84	Professional		$117.49	$213.80	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $316.23	Professional		$120.23	$199.53	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $338.84	Professional		$114.82	$194.98	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $269.15	Professional		$89.13	$147.91	$269.15