Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $588.84	Facility		$275.42	$407.38	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $436.52	Professional		$181.97	$251.19	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $645.65	Professional		$218.78	$389.05	$645.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $338.84 / $457.09	Facility		$239.88	$338.84	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $457.09	Professional		$229.09	$338.84	$457.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $371.54 / $416.87	Facility		$309.03	$371.54	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $263.03	Facility		$257.04	$257.04	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $549.54	Professional		$263.03	$389.05	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $512.86	Professional		$263.03	$363.08	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $660.69 / $10,232.93	Facility		$107.15	$660.69	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $549.54	Professional		$223.87	$346.74	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $371.54	Professional		$194.98	$213.80	$371.54