Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,000.00 / $17,782.79	Facility		$380.19	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $549.54	Professional		$181.97	$239.88	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $363.08	Facility		$302.00	$302.00	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $660.69	Professional		$194.98	$338.84	$660.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $549.54	Facility		$186.21	$302.00	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $537.03	Professional		$186.21	$302.00	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $128.82	Professional		$32.36	$33.11	$128.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $436.52	Facility		$302.00	$416.87	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $302.00	Facility		$234.42	$288.40	$302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $575.44	Professional		$275.42	$436.52	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,288.25	Facility		$436.52	$660.69	$1,288.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $524.81	Professional		$263.03	$380.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $549.54	Professional		$218.78	$302.00	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Professional		$199.53	$269.15	$380.19