Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $2,290.87 / $17,782.79	Facility		$323.59	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $851.14	Professional		$144.54	$239.88	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $616.60	Professional		$229.09	$380.19	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $407.38 / $1,698.24	Facility		$199.53	$407.38	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $724.44	Professional		$204.17	$389.05	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $426.58 / $436.52	Facility		$316.23	$426.58	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $371.54 / $575.44	Professional		$213.80	$371.54	$575.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Facility		$3,162.28	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $537.03	Professional		$213.80	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $575.44	Professional		$173.78	$288.40	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $323.59	Professional		$144.54	$229.09	$323.59