Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $10,232.93 / $28,183.83	Facility		$245.47	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $239.88 / $537.03	Professional		$158.49	$239.88	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $602.56	Professional		$323.59	$426.58	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $380.19 / $478.63	Facility		$229.09	$380.19	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $478.63	Professional		$234.42	$389.05	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $218.78	Professional		$32.36	$64.57	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $199.53	Facility		$147.91	$181.97	$199.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $512.86	Professional		$269.15	$380.19	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,454.71 / $37,153.52	Facility		$707.95	$2,454.71	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $295.12 / $562.34	Professional		$186.21	$295.12	$562.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Professional		$199.53	$269.15	$380.19