Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $398.11 / $17,782.79	Facility		$154.88	$398.11	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $288.40	Professional		$81.28	$125.89	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Facility		$3,162.28	$3,162.28	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $245.47 / $436.52	Professional		$117.49	$245.47	$436.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $223.87 / $6,025.60	Facility		$117.49	$223.87	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $2,344.23	Professional		$117.49	$213.80	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $251.19 / $309.03	Facility		$141.25	$251.19	$309.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $389.05	Professional		$134.90	$239.88	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $354.81	Professional		$131.83	$218.78	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,378.01 / $30,199.52	Facility		$2,454.71	$17,378.01	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $354.81	Professional		$104.71	$165.96	$354.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $208.93	Professional		$85.11	$147.91	$208.93