Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $616.60 / $2,137.96	Facility		$331.13	$616.60	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $645.65	Professional		$213.80	$302.00	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $676.08 / $851.14	Facility		$338.84	$676.08	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $478.63	Professional		$162.18	$346.74	$478.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $407.38 / $1,479.11	Facility		$331.13	$407.38	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $912.01	Professional		$331.13	$407.38	$912.01
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 $331.13 / $346.74 / $489.78	Facility		$331.13	$346.74	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $575.44 / $977.24	Facility		$331.13	$575.44	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $398.11	Professional		$295.12	$295.12	$398.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $870.96	Facility		$346.74	$489.78	$870.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $295.12 / $371.54	Professional		$281.84	$295.12	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $398.11	Facility		$331.13	$398.11	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $371.54	Professional		$138.04	$138.04	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $588.84	Professional		$147.91	$331.13	$588.84