Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,290.87 / $17,782.79	Facility		$120.23	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $165.96 / $562.34	Professional		$61.66	$165.96	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $190.55 / $407.38	Professional		$79.43	$190.55	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $213.80 / $426.58	Facility		$95.50	$213.80	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $398.11	Professional		$102.33	$181.97	$398.11
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 $213.80 / $281.84 / $316.23	Facility		$213.80	$281.84	$316.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $389.05	Professional		$85.11	$194.98	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Facility		$371.54	$562.34	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $323.59	Professional		$85.11	$181.97	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $758.58 / $1,380.38	Facility		$562.34	$758.58	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $181.97 / $398.11	Professional		$81.28	$181.97	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $204.17	Professional		$41.69	$79.43	$204.17