Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $17,782.79	Facility		$104.71	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $91.20 / $213.80	Professional		$52.48	$91.20	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $245.47	Professional		$83.18	$141.25	$245.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $128.82 / $269.15	Facility		$77.62	$128.82	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $213.80	Professional		$79.43	$125.89	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $173.78	Facility		$114.82	$158.49	$173.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $117.49	Facility		$112.20	$112.20	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $218.78	Professional		$72.44	$131.83	$218.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $691.83	Facility		$239.88	$363.08	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $199.53	Professional		$81.28	$125.89	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $524.81 / $1,862.09	Facility		$371.54	$524.81	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $213.80	Professional		$69.18	$112.20	$213.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $91.20 / $128.82	Professional		$47.86	$91.20	$128.82