Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $199.53	Facility		$165.96	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $199.53	Professional		$134.90	$151.36	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $204.17 / $323.59	Facility		$151.36	$204.17	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $316.23	Professional		$147.91	$199.53	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $316.23 / $346.74	Facility		$229.09	$316.23	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $234.42 / $234.42	Facility		$218.78	$234.42	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $323.59 / $457.09	Professional		$218.78	$323.59	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $398.11	Professional		$213.80	$269.15	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $457.09	Professional		$190.55	$275.42	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $177.83 / $316.23	Professional		$165.96	$177.83	$316.23