Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,737.80 / $17,782.79	Facility		$177.83	$1,737.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $457.09	Professional		$91.20	$138.04	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $2,884.03	Facility		$478.63	$478.63	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $338.84	Professional		$109.65	$177.83	$338.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $213.80 / $2,630.27	Facility		$125.89	$213.80	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $1,513.56	Professional		$125.89	$213.80	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $239.88	Facility		$173.78	$229.09	$239.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $162.18 / $630.96	Facility		$158.49	$162.18	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $295.12	Professional		$123.03	$218.78	$295.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $309.03	Professional		$158.49	$218.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $6,606.93 / $13,182.57	Facility		$154.88	$6,606.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $302.00	Professional		$120.23	$173.78	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $234.42	Professional		$83.18	$134.90	$234.42