Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $52.48 / $83.18	Professional		$8.13	$52.48	$83.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $537.03	Facility		$114.82	$316.23	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $75.86	Professional		$33.11	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $69.18	Facility		$45.71	$64.57	$69.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Facility		$81.28	$81.28	$100.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $141.25 / $251.19	Professional		$91.20	$141.25	$251.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $691.83	Facility		$234.42	$363.08	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $131.83 / $223.87	Professional		$38.02	$131.83	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,862.09	Facility		$371.54	$524.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $213.80	Professional		$22.91	$37.15	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $131.83	Professional		$69.18	$93.33	$131.83