Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,737.80 / $20,892.96	Facility		$354.81	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $537.03	Professional		$169.82	$218.78	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $562.34	Professional		$186.21	$302.00	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $269.15 / $457.09	Facility		$190.55	$269.15	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $457.09	Professional		$190.55	$275.42	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $354.81 / $380.19	Facility		$295.12	$354.81	$380.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Facility		$257.04	$257.04	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $549.54	Professional		$263.03	$407.38	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $478.63	Professional		$257.04	$363.08	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $524.81	Professional		$194.98	$288.40	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $316.23	Professional		$165.96	$190.55	$316.23