Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $6,025.60 / $18,620.87	Facility		$281.84	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $436.52	Professional		$144.54	$173.78	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $3,162.28	Facility		$501.19	$870.96	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $446.68	Professional		$162.18	$269.15	$446.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $3,981.07	Facility		$194.98	$354.81	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $302.00 / $1,412.54	Professional		$147.91	$302.00	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $295.12 / $302.00	Facility		$245.47	$295.12	$302.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $2,454.71	Facility		$204.17	$204.17	$2,454.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $436.52	Professional		$204.17	$323.59	$436.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $10,471.29	Facility		$4,073.80	$5,623.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $380.19	Professional		$234.42	$295.12	$380.19
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 $151.36 / $229.09 / $389.05	Professional		$151.36	$229.09	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $257.04	Professional		$134.90	$154.88	$257.04