Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $20,892.96	Facility		$1,000.00	$4,570.88	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $794.33	Professional		$128.82	$154.88	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,096.48	Facility		$660.69	$660.69	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $446.68	Professional		$177.83	$275.42	$446.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $316.23 / $1,905.46	Facility		$173.78	$316.23	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $288.40 / $1,071.52	Professional		$173.78	$288.40	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $269.15	Facility		$114.82	$134.90	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $426.58	Professional		$204.17	$331.13	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $4,365.16	Facility		$1,479.11	$2,290.87	$4,365.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $380.19	Professional		$199.53	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,388.44 / $5,495.41	Facility		$933.25	$3,388.44	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $416.87	Professional		$134.90	$223.87	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $275.42	Professional		$144.54	$194.98	$275.42