Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $398.11 / $457.09	Facility		$204.17	$398.11	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $436.52	Professional		$138.04	$190.55	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,964.78 / $13,182.57	Facility		$5,128.61	$10,964.78	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $338.84 / $602.56	Professional		$165.96	$338.84	$602.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $7,413.10	Facility		$257.04	$389.05	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $489.78	Professional		$199.53	$363.08	$489.78
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 $281.84 / $338.84 / $602.56	Facility		$281.84	$338.84	$602.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $234.42	Facility		$229.09	$229.09	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $512.86	Professional		$234.42	$389.05	$512.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $17,378.01	Facility		$5,888.44	$8,912.51	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $478.63	Professional		$229.09	$354.81	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $12,022.64 / $21,379.62	Facility		$8,912.51	$12,022.64	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $512.86	Professional		$173.78	$239.88	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $346.74	Professional		$181.97	$208.93	$346.74