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 $173.78 / $229.09 / $524.81	Professional		$173.78	$229.09	$524.81
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 / $602.56	Professional		$194.98	$338.84	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $269.15 / $524.81	Facility		$177.83	$269.15	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $478.63	Professional		$177.83	$281.84	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $102.33	Professional		$32.36	$33.11	$102.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $426.58	Facility		$309.03	$389.05	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $288.40	Facility		$234.42	$263.03	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $562.34	Professional		$251.19	$407.38	$562.34
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 $251.19 / $354.81 / $501.19	Professional		$251.19	$354.81	$501.19
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 / $288.40 / $549.54	Professional		$199.53	$288.40	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $309.03	Professional		$162.18	$218.78	$309.03