Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,412.54 / $11,481.54	Facility		$162.18	$1,412.54	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $446.68	Professional		$85.11	$147.91	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $213.80 / $588.84	Professional		$104.71	$213.80	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $218.78 / $1,047.13	Facility		$109.65	$218.78	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $199.53 / $645.65	Professional		$102.33	$199.53	$645.65
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 $186.21 / $416.87 / $512.86	Facility		$186.21	$416.87	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $912.01	Facility		$346.74	$354.81	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $302.00 / $645.65	Professional		$123.03	$302.00	$645.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $6,456.54	Facility		$2,238.72	$3,311.31	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $537.03	Professional		$138.04	$245.47	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $338.84	Professional		$97.72	$169.82	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $151.36 / $416.87	Professional		$81.28	$151.36	$416.87