Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,737.80 / $20,892.96	Facility		$380.19	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $562.34	Professional		$177.83	$239.88	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $323.59 / $602.56	Professional		$190.55	$323.59	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $275.42 / $489.78	Facility		$199.53	$275.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $501.19	Professional		$199.53	$295.12	$501.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $380.19 / $416.87	Facility		$302.00	$380.19	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $281.84	Facility		$275.42	$275.42	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $588.84	Professional		$281.84	$436.52	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $524.81	Professional		$281.84	$398.11	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $575.44	Professional		$199.53	$309.03	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $346.74	Professional		$181.97	$208.93	$346.74