Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $17,782.79	Facility		$239.88	$398.11	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $776.25	Professional		$120.23	$173.78	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Facility		$87.10	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $436.52	Professional		$186.21	$281.84	$436.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $645.65	Facility		$147.91	$295.12	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $288.40 / $380.19	Professional		$147.91	$288.40	$380.19
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 $218.78 / $302.00 / $323.59	Facility		$218.78	$302.00	$323.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $218.78	Facility		$208.93	$208.93	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $426.58	Professional		$186.21	$309.03	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $4,365.16	Facility		$1,479.11	$2,290.87	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $269.15 / $371.54	Professional		$177.83	$269.15	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,388.44 / $5,495.41	Facility		$933.25	$3,388.44	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $426.58	Professional		$162.18	$229.09	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $223.87	Professional		$114.82	$162.18	$223.87