Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $234.42 / $1,202.26	Facility		$79.43	$234.42	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $204.17	Professional		$42.66	$112.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $131.83 / $323.59	Professional		$51.29	$131.83	$323.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $123.03 / $316.23	Facility		$48.98	$123.03	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $281.84	Professional		$44.67	$109.65	$281.84
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 $154.88 / $229.09 / $263.03	Facility		$154.88	$229.09	$263.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $177.83 / $331.13	Professional		$61.66	$177.83	$331.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $1,174.90	Facility		$426.58	$602.56	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $154.88 / $281.84	Professional		$61.66	$154.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $812.83 / $1,445.44	Facility		$602.56	$812.83	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $125.89 / $245.47	Professional		$50.12	$125.89	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $194.98	Professional		$38.02	$72.44	$194.98