Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,513.56 / $17,782.79	Facility		$208.93	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $426.58	Professional		$102.33	$138.04	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $741.31	Facility		$162.18	$162.18	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $371.54	Professional		$123.03	$190.55	$371.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $165.96 / $323.59	Facility		$87.10	$165.96	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $302.00	Professional		$87.10	$165.96	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $229.09 / $245.47	Facility		$165.96	$229.09	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $162.18 / $165.96	Facility		$74.13	$162.18	$165.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $316.23	Professional		$151.36	$257.04	$316.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $5,495.41	Facility		$1,862.09	$2,884.03	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $338.84	Professional		$162.18	$234.42	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $6,918.31	Facility		$602.56	$3,467.37	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $323.59	Professional		$120.23	$169.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $144.54 / $239.88	Professional		$16.22	$144.54	$239.88