Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $1,000.00 / $17,782.79	Facility		$251.19	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $436.52	Professional		$125.89	$181.97	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,398.83	Facility		$467.74	$562.34	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $512.86	Professional		$147.91	$257.04	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $1,513.56	Facility		$154.88	$269.15	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $269.15 / $891.25	Professional		$154.88	$269.15	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $338.84 / $346.74	Facility		$251.19	$338.84	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $239.88 / $537.03	Facility		$234.42	$239.88	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $436.52	Professional		$190.55	$316.23	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $4,570.88 / $8,709.64	Facility		$3,019.95	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $416.87	Professional		$181.97	$281.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $436.52	Professional		$154.88	$229.09	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $251.19	Professional		$125.89	$177.83	$251.19