Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $257.04 / $616.60	Facility		$218.78	$257.04	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $346.74	Professional		$123.03	$204.17	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $407.38	Professional		$346.74	$346.74	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $602.56 / $776.25	Facility		$281.84	$602.56	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $602.56 / $776.25	Professional		$281.84	$602.56	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $524.81 / $537.03	Facility		$436.52	$524.81	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $758.58	Professional		$363.08	$537.03	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $398.11 / $758.58	Facility		$331.13	$398.11	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $229.09 / $316.23	Facility		$2.88	$229.09	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $436.52	Professional		$173.78	$263.03	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84