Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,621.81 / $3,548.13	Facility		$331.13	$1,621.81	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $426.58	Professional		$213.80	$281.84	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $794.33 / $912.01	Facility		$371.54	$794.33	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $354.81 / $1,659.59	Facility		$323.59	$354.81	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $602.56	Professional		$281.84	$354.81	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $616.60	Facility		$323.59	$389.05	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $616.60 / $1,071.52	Facility		$354.81	$616.60	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $426.58	Professional		$323.59	$323.59	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $933.25	Facility		$371.54	$537.03	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $398.11	Professional		$302.00	$323.59	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $426.58	Facility		$354.81	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $398.11	Professional		$147.91	$147.91	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $354.81 / $645.65	Professional		$158.49	$354.81	$645.65