Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $10,232.93 / $28,183.83	Facility		$389.05	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $309.03 / $436.52	Professional		$213.80	$309.03	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,290.87 / $4,466.84	Facility		$707.95	$2,290.87	$4,466.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,235.94 / $13,182.57	Facility		$1,949.84	$3,235.94	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $4,265.80	Professional		$1,862.09	$2,951.21	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $562.34 / $2,630.27	Facility		$354.81	$562.34	$2,630.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $977.24	Facility		$478.63	$562.34	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $954.99	Professional		$478.63	$724.44	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $812.83	Professional		$457.09	$602.56	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $891.25	Professional		$309.03	$426.58	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02