Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $17,782.79	Facility		$316.23	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $588.84	Professional		$147.91	$251.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $478.63 / $562.34	Facility		$398.11	$478.63	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $741.31	Professional		$177.83	$338.84	$741.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $645.65	Facility		$190.55	$338.84	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $588.84	Professional		$190.55	$338.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $512.86	Facility		$346.74	$489.78	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $645.65	Professional		$223.87	$389.05	$645.65
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 $213.80 / $354.81 / $588.84	Professional		$213.80	$354.81	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,897.79 / $9,332.54	Facility		$891.25	$4,897.79	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $588.84	Professional		$190.55	$323.59	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $380.19	Professional		$144.54	$269.15	$380.19