Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $17,782.79	Facility		$346.74	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $501.19	Professional		$165.96	$218.78	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $616.60	Professional		$181.97	$316.23	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $501.19	Facility		$177.83	$275.42	$501.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $478.63	Professional		$173.78	$275.42	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $120.23	Professional		$32.36	$33.11	$120.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $371.54 / $407.38	Facility		$275.42	$371.54	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $275.42	Facility		$234.42	$263.03	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $524.81	Professional		$251.19	$398.11	$524.81
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 $239.88 / $346.74 / $478.63	Professional		$239.88	$346.74	$478.63
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 $199.53 / $275.42 / $512.86	Professional		$199.53	$275.42	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $331.13	Professional		$173.78	$234.42	$331.13