Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,071.52 / $17,782.79	Facility		$199.53	$1,071.52	$17,782.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $831.76 / $1,659.59	Facility	50	$660.69	$831.76	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $363.08	Professional		$89.13	$134.90	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $575.44 / $831.76	Professional	50	$309.03	$575.44	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $467.74 / $562.34	Facility		$204.17	$467.74	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $407.38	Professional		$97.72	$190.55	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $338.84	Facility		$97.72	$151.36	$338.84
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $676.08 / $1,174.90 / $2,137.96	Facility	50	$676.08	$1,174.90	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $302.00	Professional		$97.72	$151.36	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $239.88 / $295.12	Facility		$147.91	$239.88	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $199.53	Facility		$190.55	$190.55	$199.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $363.08	Professional		$147.91	$257.04	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $831.76 / $1,621.81	Facility		$562.34	$831.76	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $1,258.93 / $2,398.83	Facility	50	$851.14	$1,258.93	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $323.59	Professional		$141.25	$223.87	$323.59
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 $109.65 / $162.18 / $323.59	Professional		$109.65	$162.18	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $213.80	Professional		$97.72	$151.36	$213.80