Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,513.56 / $17,782.79	Facility		$102.33	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $112.20 / $288.40	Professional		$53.70	$112.20	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $316.23	Professional		$67.61	$141.25	$316.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $131.83 / $269.15	Facility		$70.79	$131.83	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $269.15	Professional		$72.44	$134.90	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $213.80 / $229.09	Facility		$165.96	$213.80	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $281.84	Professional		$77.62	$151.36	$281.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $251.19	Professional		$75.86	$147.91	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $134.90 / $263.03	Professional		$69.18	$134.90	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $93.33 / $181.97	Professional		$48.98	$93.33	$181.97