Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $1,000.00 / $17,782.79	Facility		$263.03	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $323.59 / $794.33	Professional		$131.83	$323.59	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $407.38 / $1,047.13	Professional		$208.93	$407.38	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $338.84 / $933.25	Facility		$190.55	$338.84	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $912.01	Professional		$190.55	$338.84	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $660.69 / $758.58	Facility		$407.38	$660.69	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Facility		$501.19	$501.19	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $446.68 / $954.99	Professional		$186.21	$446.68	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $1,318.26	Facility		$446.68	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $371.54 / $870.96	Professional		$199.53	$371.54	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $2,041.74	Facility		$645.65	$891.25	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $380.19 / $933.25	Professional		$173.78	$380.19	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $588.84	Professional		$117.49	$223.87	$588.84