Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $3,981.07 / $14,125.38	Facility		$346.74	$3,981.07	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $602.56	Professional		$154.88	$239.88	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,818.38	Facility		$562.34	$912.01	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $676.08	Professional		$223.87	$354.81	$676.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $3,235.94	Facility		$269.15	$446.68	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $1,548.82	Professional		$269.15	$446.68	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,949.84	Facility		$338.84	$512.86	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $977.24	Facility		$354.81	$363.08	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $660.69	Professional		$245.47	$436.52	$660.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $549.54	Professional		$245.47	$363.08	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $10,232.93 / $16,595.87	Facility		$1,862.09	$10,232.93	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $660.69	Professional		$223.87	$331.13	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $416.87	Professional		$177.83	$295.12	$416.87