Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $1,000.00 / $17,782.79	Facility		$87.10	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $263.03	Professional		$45.71	$120.23	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $346.74	Professional		$58.88	$151.36	$346.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $245.47 / $3,467.37	Facility		$79.43	$245.47	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $389.05	Professional		$79.43	$199.53	$389.05
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 $186.21 / $223.87 / $251.19	Facility		$186.21	$223.87	$251.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $158.49	Facility		$154.88	$154.88	$158.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $281.84	Professional		$60.26	$147.91	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $138.04 / $269.15	Professional		$60.26	$138.04	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,495.41 / $9,332.54	Facility		$1,096.48	$5,495.41	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $288.40	Professional		$57.54	$125.89	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $229.09	Professional		$47.86	$77.62	$229.09