Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $562.34 / $1,737.80	Facility		$147.91	$562.34	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $269.15 / $575.44	Professional		$66.07	$269.15	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $630.96 / $776.25	Facility		$309.03	$630.96	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $338.84 / $426.58	Professional		$79.43	$338.84	$426.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $371.54 / $933.25	Facility		$302.00	$371.54	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $831.76	Professional		$302.00	$371.54	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $562.34	Facility		$302.00	$302.00	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $524.81 / $891.25	Facility		$302.00	$524.81	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $363.08	Professional		$269.15	$269.15	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $831.76	Facility		$316.23	$446.68	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $338.84	Professional		$257.04	$269.15	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $363.08	Facility		$302.00	$363.08	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $125.89 / $338.84	Professional		$37.15	$125.89	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $302.00 / $537.03	Professional		$134.90	$302.00	$537.03