Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $6,025.60 / $18,620.87	Facility		$213.80	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $338.84	Professional		$102.33	$141.25	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $758.58	Facility		$630.96	$676.08	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $346.74	Professional		$114.82	$181.97	$346.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Facility		$117.49	$169.82	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $281.84	Professional		$120.23	$173.78	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $229.09	Facility		$169.82	$218.78	$229.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $245.47 / $331.13	Professional		$154.88	$245.47	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,244.36	Facility		$5,754.40	$5,754.40	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $295.12	Professional		$158.49	$218.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $316.23	Professional		$117.49	$177.83	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $186.21	Professional		$97.72	$112.20	$186.21