Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,818.38 / $17,782.79	Facility		$251.19	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $489.78	Professional		$123.03	$208.93	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $371.54	Facility		$218.78	$218.78	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $354.81 / $602.56	Professional		$204.17	$354.81	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $331.13 / $1,380.38	Facility		$181.97	$331.13	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $549.54	Professional		$181.97	$331.13	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $398.11 / $426.58	Facility		$263.03	$398.11	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $549.54	Professional		$181.97	$323.59	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Facility		$3,162.28	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $501.19	Professional		$186.21	$302.00	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $524.81	Professional		$162.18	$275.42	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $309.03	Professional		$123.03	$218.78	$309.03