Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $389.05	Facility		$177.83	$281.84	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $389.05	Professional		$123.03	$169.82	$389.05
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 $151.36 / $288.40 / $512.86	Professional		$151.36	$288.40	$512.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $338.84 / $7,413.10	Facility		$218.78	$338.84	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $416.87	Professional		$177.83	$316.23	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $288.40 / $537.03	Facility		$245.47	$288.40	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $204.17	Facility		$199.53	$199.53	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $446.68	Professional		$204.17	$331.13	$446.68
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 $204.17 / $316.23 / $416.87	Professional		$204.17	$316.23	$416.87
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 $151.36 / $218.78 / $467.74	Professional		$151.36	$218.78	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $309.03	Professional		$162.18	$186.21	$309.03