Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,000.00 / $17,782.79	Facility		$125.89	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $323.59	Professional		$58.88	$141.25	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $398.11	Professional		$69.18	$162.18	$398.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $151.36 / $346.74	Facility		$87.10	$151.36	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $338.84	Professional		$77.62	$151.36	$338.84
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 $194.98 / $275.42 / $309.03	Facility		$194.98	$275.42	$309.03
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 Professional Modifier Low / Median / High Price $102.33 / $204.17 / $346.74	Professional		$102.33	$204.17	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $158.49 / $363.08	Professional		$70.79	$158.49	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $100.00 / $213.80	Professional		$52.48	$100.00	$213.80