Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,000.00 / $17,782.79	Facility		$426.58	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $338.84 / $691.83	Professional		$213.80	$338.84	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $630.96 / $954.99	Facility		$316.23	$630.96	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $912.01	Professional		$251.19	$436.52	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $1,000.00	Facility		$275.42	$478.63	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $776.25	Professional		$257.04	$457.09	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $707.95	Facility		$426.58	$602.56	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $478.63 / $489.78	Facility		$331.13	$478.63	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $912.01	Professional		$309.03	$549.54	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $8,317.64	Facility		$3,311.31	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $758.58	Professional		$354.81	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $8,709.64	Facility		$933.25	$4,897.79	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $389.05 / $724.44	Professional		$245.47	$389.05	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $549.54	Professional		$199.53	$380.19	$549.54