Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,677.35 / $21,877.62	Facility		$288.40	$4,677.35	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $478.63	Professional		$151.36	$190.55	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $457.09	Professional		$199.53	$309.03	$457.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $416.87	Facility		$194.98	$338.84	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $416.87	Professional		$194.98	$338.84	$416.87
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 $257.04 / $302.00 / $316.23	Facility		$257.04	$302.00	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $457.09	Professional		$213.80	$354.81	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $416.87	Professional		$218.78	$309.03	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,311.31 / $37,153.52	Facility		$1,122.02	$3,311.31	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $426.58	Professional		$169.82	$251.19	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $257.04	Professional		$158.49	$186.21	$257.04