Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $562.34	Facility		$407.38	$407.38	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $616.60	Professional		$181.97	$234.42	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $691.83	Professional		$234.42	$380.19	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $354.81 / $588.84	Facility		$223.87	$354.81	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $562.34	Professional		$208.93	$346.74	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $446.68 / $467.74	Facility		$371.54	$446.68	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $645.65	Professional		$295.12	$478.63	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $588.84	Professional		$316.23	$436.52	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $389.05	Professional		$204.17	$213.80	$389.05