Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $870.96 / $17,782.79	Facility		$63.10	$870.96	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $144.54	Professional		$33.11	$53.70	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $630.96 / $758.58	Facility		$45.71	$630.96	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $131.83	Professional		$38.02	$70.79	$131.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $125.89	Facility		$38.02	$69.18	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $109.65	Professional		$38.02	$69.18	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $32.36 / $33.11	Professional		$23.44	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $87.10 / $107.15	Facility		$72.44	$87.10	$107.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $60.26	Facility		$41.69	$58.88	$60.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $109.65	Professional		$48.98	$81.28	$109.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,621.81	Facility		$575.44	$851.14	$1,621.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $104.71	Professional		$47.86	$70.79	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,071.52 / $2,454.71	Facility		$416.87	$1,071.52	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $112.20	Professional		$40.74	$64.57	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $89.13	Professional		$47.86	$54.95	$89.13