Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,000.00 / $17,782.79	Facility		$181.97	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $323.59	Professional		$97.72	$134.90	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $346.74	Professional		$151.36	$223.87	$346.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $218.78 / $323.59	Facility		$117.49	$218.78	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $302.00	Professional		$117.49	$213.80	$302.00
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 / $239.88 / $251.19	Facility		$186.21	$239.88	$251.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $169.82	Facility		$165.96	$165.96	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $234.42 / $323.59	Professional		$134.90	$234.42	$323.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $1,348.96	Facility		$512.86	$707.95	$1,348.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $295.12	Professional		$144.54	$204.17	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $954.99 / $2,041.74	Facility		$645.65	$954.99	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $331.13	Professional		$123.03	$181.97	$331.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $181.97	Professional		$85.11	$128.82	$181.97