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 $158.49 / $213.80 / $281.84	Professional		$158.49	$213.80	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $426.58 / $562.34	Professional		$295.12	$426.58	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $346.74 / $588.84	Facility		$123.03	$346.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $331.13 / $588.84	Professional		$123.03	$331.13	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $64.57 / $186.21	Professional		$7.24	$64.57	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $158.49 / $169.82	Facility		$131.83	$158.49	$169.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $537.03	Professional		$251.19	$416.87	$537.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $489.78	Professional		$257.04	$363.08	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $660.69 / $6,165.95	Facility		$190.55	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $537.03	Professional		$194.98	$371.54	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $239.88	Professional		$66.07	$123.03	$239.88