Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,000.00 / $17,782.79	Facility		$194.98	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $204.17 / $426.58	Professional		$93.33	$204.17	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $707.95 / $954.99	Facility		$199.53	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $537.03	Professional		$120.23	$257.04	$537.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $602.56	Facility		$123.03	$263.03	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $467.74	Professional		$117.49	$234.42	$467.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $426.58	Facility		$288.40	$407.38	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $288.40	Facility		$208.93	$288.40	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $288.40 / $537.03	Professional		$138.04	$288.40	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $4,897.79	Facility		$1,862.09	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $457.09	Professional		$154.88	$288.40	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $426.58	Professional		$112.20	$218.78	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $316.23	Professional		$81.28	$154.88	$316.23