Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $537.03 / $17,782.79	Facility		$239.88	$537.03	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $489.78	Professional		$123.03	$194.98	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $630.96	Facility		$467.74	$501.19	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $537.03	Professional		$144.54	$263.03	$537.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $275.42 / $524.81	Facility		$165.96	$275.42	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $263.03 / $457.09	Professional		$138.04	$263.03	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $389.05 / $416.87	Facility		$245.47	$389.05	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Facility		$275.42	$275.42	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $524.81	Professional		$177.83	$316.23	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $446.68	Professional		$199.53	$309.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,513.56 / $3,090.30	Facility		$269.15	$1,513.56	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $223.87 / $416.87	Professional		$138.04	$223.87	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $309.03	Professional		$117.49	$218.78	$309.03