Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $436.52 / $17,782.79	Facility		$199.53	$436.52	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $158.49 / $380.19	Professional		$109.65	$158.49	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $204.17	Facility		$120.23	$120.23	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $467.74	Professional		$173.78	$275.42	$467.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $263.03 / $436.52	Facility		$151.36	$263.03	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $398.11	Professional		$151.36	$251.19	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $338.84	Facility		$213.80	$309.03	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Facility		$229.09	$229.09	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $426.58	Professional		$158.49	$281.84	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,737.80	Facility		$602.56	$912.01	$1,737.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $389.05	Professional		$169.82	$251.19	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,398.83	Facility		$645.65	$1,148.15	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $416.87	Professional		$144.54	$218.78	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $245.47	Professional		$100.00	$173.78	$245.47