Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $7,762.47 / $20,892.96	Facility		$363.08	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $537.03	Professional		$169.82	$229.09	$537.03
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 $181.97 / $309.03 / $588.84	Professional		$181.97	$309.03	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $269.15 / $478.63	Facility		$186.21	$269.15	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $478.63	Professional		$186.21	$281.84	$478.63
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 / $389.05	Facility		$295.12	$354.81	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $562.34	Professional		$263.03	$407.38	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,244.36	Facility		$5,754.40	$5,754.40	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $489.78	Professional		$269.15	$371.54	$489.78
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 $190.55 / $295.12 / $537.03	Professional		$190.55	$295.12	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $316.23	Professional		$165.96	$190.55	$316.23