Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,000.00 / $17,782.79	Facility		$323.59	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $467.74	Professional		$151.36	$229.09	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $331.13	Facility		$218.78	$218.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $630.96	Professional		$218.78	$346.74	$630.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $380.19 / $660.69	Facility		$234.42	$380.19	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $602.56	Professional		$234.42	$380.19	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $109.65	Professional		$32.36	$33.11	$109.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $467.74 / $489.78	Facility		$323.59	$467.74	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $338.84	Facility		$173.78	$323.59	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $602.56	Professional		$234.42	$416.87	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $512.86	Professional		$229.09	$338.84	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $616.60	Professional		$213.80	$316.23	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $245.47 / $346.74	Professional		$141.25	$245.47	$346.74