Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $10,232.93 / $28,183.83	Facility		$107.15	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $107.15	Professional		$70.79	$85.11	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $234.42	Professional		$102.33	$151.36	$234.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $181.97 / $5,128.61	Facility		$125.89	$181.97	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $229.09	Professional		$100.00	$165.96	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $36.31	Professional		$32.36	$33.11	$36.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $151.36 / $151.36	Facility		$104.71	$151.36	$151.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Facility		$102.33	$102.33	$104.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $223.87	Professional		$104.71	$169.82	$223.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $6,456.54	Facility		$2,290.87	$3,388.44	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $199.53	Professional		$104.71	$144.54	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,466.84 / $9,549.93	Facility		$1,698.24	$4,466.84	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $218.78	Professional		$83.18	$123.03	$218.78