Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,041.74 / $17,782.79	Facility		$97.72	$2,041.74	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $102.33 / $257.04	Professional		$44.67	$102.33	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $154.88	Facility		$93.33	$93.33	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $151.36 / $302.00	Professional		$75.86	$151.36	$302.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $144.54 / $630.96	Facility		$72.44	$144.54	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $131.83 / $275.42	Professional		$75.86	$131.83	$275.42
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 $158.49 / $204.17 / $223.87	Facility		$158.49	$204.17	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $147.91	Facility		$144.54	$144.54	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $281.84	Professional		$67.61	$144.54	$281.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $263.03	Professional		$72.44	$131.83	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,630.27 / $4,897.79	Facility		$933.25	$2,630.27	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $281.84	Professional		$64.57	$131.83	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $151.36	Professional		$41.69	$79.43	$151.36