Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $812.83 / $17,782.79	Facility		$245.47	$812.83	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $331.13 / $776.25	Professional		$144.54	$331.13	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $912.01	Professional		$177.83	$389.05	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $758.58	Facility		$239.88	$371.54	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $776.25	Professional		$239.88	$371.54	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $575.44 / $660.69	Facility		$489.78	$575.44	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Facility		$407.38	$407.38	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $741.31	Professional		$181.97	$389.05	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,754.40	Facility		$4,570.88	$4,570.88	$5,754.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $389.05 / $691.83	Professional		$181.97	$389.05	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,071.52 / $6,165.95	Facility		$501.19	$1,071.52	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $758.58	Professional		$181.97	$371.54	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $602.56	Professional		$134.90	$223.87	$602.56