Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $10,232.93 / $28,183.83	Facility		$213.80	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $288.40	Professional		$144.54	$213.80	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $707.95 / $2,290.87	Facility		$302.00	$707.95	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $281.84 / $13,182.57	Facility		$162.18	$281.84	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $354.81	Professional		$158.49	$245.47	$354.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.49 / $2,570.40	Facility		$8.32	$13.49	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $977.24	Facility		$251.19	$251.19	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $645.65	Professional		$251.19	$398.11	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $724.44 / $5,495.41	Facility		$524.81	$724.44	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $512.86	Professional		$257.04	$354.81	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $6,606.93	Facility		$707.95	$1,258.93	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $758.58	Professional		$263.03	$416.87	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.60 / $27.54	Professional		$14.45	$16.60	$27.54