Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,019.95 / $17,782.79	Facility		$426.58	$3,019.95	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $794.33	Professional		$199.53	$309.03	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $724.44	Facility		$281.84	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $812.83	Professional		$281.84	$446.68	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $501.19 / $891.25	Facility		$309.03	$501.19	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $776.25	Professional		$309.03	$501.19	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $630.96	Facility		$380.19	$602.56	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $426.58 / $436.52	Facility		$223.87	$426.58	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $794.33	Professional		$309.03	$537.03	$794.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $660.69	Professional		$309.03	$446.68	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $5,128.61 / $9,332.54	Facility		$676.08	$5,128.61	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $812.83	Professional		$281.84	$416.87	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $457.09	Professional		$194.98	$323.59	$457.09