Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,513.56 / $17,782.79	Facility		$363.08	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $794.33	Professional		$194.98	$338.84	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Facility		$446.68	$446.68	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $977.24	Professional		$302.00	$501.19	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $954.99	Facility		$302.00	$489.78	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $831.76	Professional		$302.00	$467.74	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $707.95	Facility		$398.11	$562.34	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $891.25	Professional		$269.15	$489.78	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,715.35	Facility		$1,479.11	$1,995.26	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $812.83	Professional		$295.12	$489.78	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $5,495.41	Facility		$1,698.24	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $416.87 / $870.96	Professional		$245.47	$416.87	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $467.74	Professional		$173.78	$331.13	$467.74