Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $10,232.93 / $20,892.96	Facility		$501.19	$10,232.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $812.83	Professional		$251.19	$338.84	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,230.27	Facility		$1,000.00	$1,071.52	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $812.83	Professional		$275.42	$436.52	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $660.69	Facility		$288.40	$398.11	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $676.08	Professional		$288.40	$407.38	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $524.81 / $549.54	Facility		$426.58	$524.81	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $776.25	Professional		$371.54	$575.44	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $6,760.83	Facility		$5,370.32	$5,370.32	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $691.83	Professional		$371.54	$512.86	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $758.58	Professional		$281.84	$416.87	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $446.68	Professional		$234.42	$269.15	$446.68