Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,737.80 / $17,782.79	Facility		$162.18	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $489.78	Professional		$81.28	$218.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,380.38	Facility		$467.74	$562.34	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $251.19 / $724.44	Professional		$97.72	$251.19	$724.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $295.12 / $831.76	Facility		$107.15	$295.12	$831.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $741.31	Professional		$97.72	$229.09	$741.31
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 $316.23 / $467.74 / $588.84	Facility		$316.23	$467.74	$588.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $407.38 / $707.95	Facility		$398.11	$407.38	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $354.81 / $741.31	Professional		$117.49	$354.81	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,897.79	Facility		$1,905.46	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $338.84 / $645.65	Professional		$134.90	$338.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $6,456.54	Facility		$933.25	$3,235.94	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $239.88 / $537.03	Professional		$95.50	$239.88	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $467.74	Professional		$81.28	$154.88	$467.74