Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,000.00 / $17,782.79	Facility		$181.97	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $331.13	Professional		$87.10	$158.49	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $467.74 / $630.96	Facility		$173.78	$467.74	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $446.68	Professional		$102.33	$204.17	$446.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $478.63	Facility		$117.49	$223.87	$478.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $380.19	Professional		$109.65	$204.17	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $338.84	Facility		$204.17	$295.12	$338.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $229.09 / $229.09	Facility		$181.97	$229.09	$229.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $426.58	Professional		$128.82	$229.09	$426.58
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 $141.25 / $234.42 / $363.08	Professional		$141.25	$234.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,897.79 / $9,332.54	Facility		$602.56	$4,897.79	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $169.82 / $316.23	Professional		$100.00	$169.82	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $251.19	Professional		$85.11	$162.18	$251.19