Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $1,949.84	Facility		$389.05	$691.83	$1,949.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $575.44	Professional		$173.78	$281.84	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $645.65 / $851.14	Facility		$316.23	$645.65	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $346.74 / $457.09	Professional		$158.49	$346.74	$457.09
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 / $380.19 / $831.76	Professional		$302.00	$380.19	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $263.03 / $316.23	Professional		$75.86	$263.03	$316.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $575.44	Facility		$302.00	$302.00	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $537.03 / $912.01	Facility		$302.00	$537.03	$912.01
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 / $457.09 / $831.76	Facility		$316.23	$457.09	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $363.08	Professional		$257.04	$269.15	$363.08
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 $125.89 / $125.89 / $338.84	Professional		$125.89	$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