Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,000.00 / $17,782.79	Facility		$295.12	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $524.81	Professional		$128.82	$213.80	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $724.44	Facility		$229.09	$346.74	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $602.56	Professional		$186.21	$316.23	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $354.81 / $630.96	Facility		$213.80	$354.81	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $575.44	Professional		$213.80	$346.74	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $436.52 / $467.74	Facility		$281.84	$436.52	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $316.23	Facility		$181.97	$309.03	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $575.44	Professional		$204.17	$371.54	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $478.63	Professional		$199.53	$316.23	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,786.30	Facility		$676.08	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $575.44	Professional		$181.97	$295.12	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $331.13	Professional		$131.83	$234.42	$331.13