Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $17,782.79	Facility		$316.23	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $630.96	Professional		$141.25	$295.12	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $363.08 / $812.83	Professional		$177.83	$363.08	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $371.54 / $776.25	Facility		$204.17	$371.54	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $776.25	Professional		$204.17	$363.08	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $645.65	Facility		$416.87	$602.56	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $446.68	Facility		$426.58	$426.58	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $851.14	Professional		$223.87	$426.58	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $724.44	Professional		$245.47	$436.52	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $371.54 / $758.58	Professional		$181.97	$371.54	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $489.78	Professional		$134.90	$257.04	$489.78