Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $3,548.13 / $18,620.87	Facility		$251.19	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $398.11	Professional		$128.82	$169.82	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,041.74	Facility		$467.74	$562.34	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $251.19 / $446.68	Professional		$147.91	$251.19	$446.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $316.23 / $2,137.96	Facility		$190.55	$316.23	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $1,122.02	Professional		$138.04	$281.84	$1,122.02
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 $218.78 / $263.03 / $371.54	Facility		$218.78	$263.03	$371.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $181.97 / $1,230.27	Facility		$177.83	$181.97	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $389.05	Professional		$181.97	$281.84	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $338.84	Professional		$204.17	$257.04	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $363.08	Professional		$134.90	$218.78	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $229.09	Professional		$120.23	$141.25	$229.09