Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,000.00 / $17,782.79	Facility		$162.18	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $407.38	Professional		$81.28	$186.21	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,311.31	Facility		$467.74	$562.34	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $489.78	Professional		$97.72	$218.78	$489.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $245.47 / $2,511.89	Facility		$112.20	$245.47	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $208.93 / $562.34	Professional		$102.33	$208.93	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $60.26	Professional		$32.36	$33.11	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $354.81 / $416.87	Facility		$218.78	$354.81	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,995.26	Facility		$281.84	$281.84	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $524.81	Professional		$120.23	$281.84	$524.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $275.42 / $446.68	Professional		$134.90	$275.42	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $15,488.17	Facility		$933.25	$7,943.28	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $190.55 / $380.19	Professional		$93.33	$190.55	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $331.13	Professional		$81.28	$154.88	$331.13