Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $3,548.13 / $18,620.87	Facility		$234.42	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $416.87	Professional		$114.82	$162.18	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $371.54	Professional		$158.49	$245.47	$371.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $295.12 / $4,466.84	Facility		$169.82	$295.12	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $1,348.96	Professional		$158.49	$275.42	$1,348.96
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 $204.17 / $245.47 / $257.04	Facility		$204.17	$245.47	$257.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $169.82 / $169.82	Facility		$165.96	$169.82	$169.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $363.08	Professional		$169.82	$281.84	$363.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $8,709.64	Facility		$3,090.30	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $323.59	Professional		$169.82	$239.88	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,754.40 / $9,772.37	Facility		$933.25	$5,754.40	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $354.81	Professional		$112.20	$204.17	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $213.80	Professional		$112.20	$151.36	$213.80