Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,737.80 / $17,782.79	Facility		$239.88	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $446.68	Professional		$114.82	$204.17	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,981.07	Facility		$467.74	$562.34	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $263.03 / $549.54	Professional		$134.90	$263.03	$549.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $2,818.38	Facility		$154.88	$302.00	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $575.44	Professional		$141.25	$269.15	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $436.52	Facility		$263.03	$380.19	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,862.09	Facility		$295.12	$295.12	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $549.54	Professional		$173.78	$309.03	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $467.74	Professional		$194.98	$316.23	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $9,549.93 / $18,620.87	Facility		$933.25	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $407.38	Professional		$128.82	$223.87	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $316.23	Professional		$114.82	$218.78	$316.23