Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $7,762.47 / $20,892.96	Facility		$346.74	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $501.19	Professional		$186.21	$239.88	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $588.84	Professional		$251.19	$389.05	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $16,982.44	Facility		$281.84	$467.74	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $6,918.31	Professional		$281.84	$426.58	$6,918.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $389.05	Facility		$302.00	$363.08	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $537.03	Professional		$251.19	$436.52	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $37,153.52	Facility		$12,882.50	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $371.54 / $501.19	Professional		$263.03	$371.54	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $24,547.09 / $42,657.95	Facility		$2,454.71	$24,547.09	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $549.54	Professional		$204.17	$331.13	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $323.59	Professional		$169.82	$229.09	$323.59