Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $17,782.79	Facility		$407.38	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $1,174.90	Professional		$208.93	$295.12	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $478.63	Facility		$295.12	$295.12	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $371.54 / $707.95	Professional		$245.47	$371.54	$707.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $331.13 / $616.60	Facility		$165.96	$331.13	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $602.56	Professional		$165.96	$338.84	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $467.74 / $489.78	Facility		$346.74	$467.74	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $331.13	Facility		$134.90	$323.59	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $630.96	Professional		$302.00	$501.19	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $1,584.89	Facility		$602.56	$831.76	$1,584.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $660.69	Professional		$331.13	$467.74	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,096.48 / $2,511.89	Facility		$154.88	$1,096.48	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $346.74 / $630.96	Professional		$251.19	$346.74	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $295.12 / $489.78	Professional		$32.36	$295.12	$489.78