Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $676.08	Facility		$346.74	$588.84	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $812.83	Professional		$223.87	$288.40	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,096.48 / $1,905.46	Facility		$512.86	$1,096.48	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $831.76	Professional		$354.81	$562.34	$831.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $660.69 / $1,819.70	Facility		$389.05	$660.69	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $831.76	Professional		$446.68	$630.96	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $489.78 / $562.34	Facility		$407.38	$489.78	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $363.08	Facility		$346.74	$346.74	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $588.84 / $724.44	Professional		$346.74	$588.84	$724.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,238.72	Facility		$758.58	$1,148.15	$2,238.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $776.25	Professional		$371.54	$575.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,691.53	Facility		$1,122.02	$1,513.56	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $741.31	Professional		$223.87	$281.84	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $501.19	Professional		$302.00	$354.81	$501.19