Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,000.00 / $14,454.40	Facility		$229.09	$1,000.00	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $269.15 / $660.69	Professional		$109.65	$269.15	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $331.13 / $758.58	Professional		$138.04	$331.13	$758.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $724.44	Facility		$147.91	$295.12	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $691.83	Professional		$147.91	$295.12	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $501.19 / $562.34	Facility		$354.81	$501.19	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $389.05 / $389.05	Facility		$144.54	$389.05	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $707.95	Professional		$162.18	$371.54	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Facility		$602.56	$831.76	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $389.05 / $724.44	Professional		$208.93	$389.05	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,096.48 / $2,511.89	Facility		$154.88	$1,096.48	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $316.23 / $645.65	Professional		$144.54	$316.23	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $199.53 / $549.54	Professional		$37.15	$199.53	$549.54