Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,737.80 / $20,892.96	Facility		$426.58	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $630.96	Professional		$208.93	$263.03	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $691.83	Professional		$239.88	$389.05	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $426.58 / $575.44	Facility		$239.88	$426.58	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $575.44	Professional		$218.78	$371.54	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $467.74	Facility		$380.19	$446.68	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $676.08	Professional		$316.23	$489.78	$676.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $588.84	Professional		$354.81	$446.68	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $602.56	Professional		$223.87	$331.13	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $389.05	Professional		$204.17	$234.42	$389.05