Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $17,782.79	Facility		$380.19	$954.99	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $602.56	Professional		$186.21	$302.00	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $691.83	Facility		$346.74	$501.19	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $380.19 / $794.33	Professional		$208.93	$380.19	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $870.96	Facility		$229.09	$436.52	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $691.83	Professional		$208.93	$407.38	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $501.19 / $616.60	Facility		$346.74	$501.19	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $436.52	Facility		$389.05	$416.87	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $478.63 / $812.83	Professional		$275.42	$478.63	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $8,317.64	Facility		$3,311.31	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $676.08	Professional		$316.23	$467.74	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $8,709.64	Facility		$933.25	$4,897.79	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $630.96	Professional		$194.98	$323.59	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $467.74	Professional		$199.53	$331.13	$467.74