Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,258.93 / $17,782.79	Facility		$158.49	$1,258.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $316.23 / $870.96	Professional		$93.33	$316.23	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $346.74 / $1,288.25	Professional		$107.15	$346.74	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $338.84 / $1,174.90	Facility		$125.89	$338.84	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $338.84 / $1,174.90	Professional		$120.23	$338.84	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $851.14 / $1,000.00	Facility		$575.44	$851.14	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $724.44	Facility		$691.83	$691.83	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $645.65 / $1,318.26	Professional		$138.04	$645.65	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $331.13 / $1,122.02	Professional		$147.91	$331.13	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $407.38 / $1,122.02	Professional		$107.15	$407.38	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $741.31	Professional		$77.62	$147.91	$741.31