Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $10,232.93 / $28,183.83	Facility		$269.15	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $323.59	Professional		$186.21	$257.04	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $6,025.60	Facility		$707.95	$758.58	$6,025.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $18,620.87	Facility		$2,818.38	$4,677.35	$18,620.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $6,165.95	Professional		$2,754.23	$4,265.80	$6,165.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $64.57	Professional		$33.11	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $4,265.80	Facility		$389.05	$2,630.27	$4,265.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $380.19 / $1,513.56	Facility		$354.81	$380.19	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $549.54 / $691.83	Professional		$380.19	$549.54	$691.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,182.57 / $25,118.86	Facility		$8,511.38	$13,182.57	$25,118.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $512.86 / $707.95	Professional		$363.08	$512.86	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $15,135.61 / $24,547.09	Facility		$3,467.37	$15,135.61	$24,547.09
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $741.31	Professional		$309.03	$457.09	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12