Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,380.38 / $17,782.79	Facility		$229.09	$1,380.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $660.69	Professional		$114.82	$263.03	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $309.03 / $724.44	Professional		$138.04	$309.03	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $295.12 / $707.95	Facility		$147.91	$295.12	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $645.65	Professional		$147.91	$295.12	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $467.74 / $537.03	Facility		$331.13	$467.74	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $371.54 / $371.54	Facility		$144.54	$371.54	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $691.83	Professional		$165.96	$354.81	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $831.76 / $1,584.89	Facility		$549.54	$831.76	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $691.83	Professional		$213.80	$380.19	$691.83
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 / $295.12 / $630.96	Professional		$144.54	$295.12	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $194.98 / $501.19	Professional		$34.67	$194.98	$501.19