Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,513.56 / $17,782.79	Facility		$144.54	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $346.74	Professional		$66.07	$138.04	$346.74
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 $85.11 / $169.82 / $389.05	Professional		$85.11	$169.82	$389.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $162.18 / $316.23	Facility		$87.10	$162.18	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $316.23	Professional		$89.13	$162.18	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $37.15	Professional		$32.36	$33.11	$37.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $275.42	Facility		$190.55	$245.47	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $190.55	Facility		$186.21	$186.21	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $346.74	Professional		$97.72	$186.21	$346.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $316.23	Professional		$93.33	$181.97	$316.23
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 $85.11 / $165.96 / $323.59	Professional		$85.11	$165.96	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $213.80	Professional		$56.23	$107.15	$213.80