Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $17,782.79	Facility		$302.00	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $436.52	Professional		$141.25	$181.97	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $478.63	Professional		$190.55	$275.42	$478.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $331.13 / $436.52	Facility		$223.87	$331.13	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $346.74 / $436.52	Professional		$229.09	$346.74	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $338.84 / $354.81	Facility		$245.47	$338.84	$354.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $478.63	Professional		$223.87	$363.08	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Facility		$575.44	$575.44	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $426.58	Professional		$208.93	$309.03	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $645.65 / $5,754.40	Facility		$141.25	$645.65	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $489.78	Professional		$194.98	$251.19	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42