Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,230.27 / $17,782.79	Facility		$416.87	$1,230.27	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $794.33	Professional		$204.17	$302.00	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $478.63	Facility		$354.81	$354.81	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $707.95	Professional		$251.19	$389.05	$707.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $371.54 / $724.44	Facility		$194.98	$371.54	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $380.19 / $676.08	Professional		$194.98	$380.19	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $537.03 / $549.54	Facility		$389.05	$537.03	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $363.08 / $371.54	Facility		$154.88	$363.08	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $691.83	Professional		$288.40	$501.19	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,162.28	Facility		$1,202.26	$1,659.59	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,905.46 / $4,365.16	Facility		$398.11	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $707.95	Professional		$263.03	$380.19	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $549.54	Professional		$194.98	$323.59	$549.54