Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,000.00 / $17,782.79	Facility		$269.15	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $588.84	Professional		$128.82	$281.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,454.71	Facility		$501.19	$870.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $794.33	Professional		$165.96	$354.81	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $416.87 / $1,659.59	Facility		$181.97	$416.87	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $831.76	Professional		$165.96	$331.13	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $549.54 / $616.60	Facility		$389.05	$549.54	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,230.27	Facility		$416.87	$416.87	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $758.58	Professional		$186.21	$407.38	$758.58
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 $208.93 / $416.87 / $676.08	Professional		$208.93	$416.87	$676.08
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 $154.88 / $309.03 / $588.84	Professional		$154.88	$309.03	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $501.19	Professional		$120.23	$229.09	$501.19