Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,819.70 / $10,964.78	Facility		$125.89	$1,819.70	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $151.36 / $426.58	Professional		$58.88	$151.36	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $457.09	Professional		$107.15	$213.80	$457.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $218.78 / $1,445.44	Facility		$102.33	$218.78	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $398.11	Professional		$104.71	$204.17	$398.11
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 $229.09 / $309.03 / $316.23	Facility		$229.09	$309.03	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $213.80	Facility		$208.93	$208.93	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $208.93 / $407.38	Professional		$93.33	$208.93	$407.38
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 $93.33 / $186.21 / $389.05	Professional		$93.33	$186.21	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,754.40 / $9,772.37	Facility		$933.25	$5,754.40	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $194.98 / $407.38	Professional		$83.18	$194.98	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $107.15 / $245.47	Professional		$56.23	$107.15	$245.47