Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $11,748.98 / $21,877.62	Facility		$1,778.28	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $407.38	Professional		$245.47	$346.74	$407.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $15,135.61 / $26,302.68	Facility		$3,548.13	$15,135.61	$26,302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $60.26	Professional		$44.67	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $676.08 / $758.58	Facility		$575.44	$676.08	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $524.81	Facility		$489.78	$489.78	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,023.29	Professional		$524.81	$812.83	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $11,220.18 / $21,379.62	Facility		$8,511.38	$11,220.18	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $933.25	Professional		$489.78	$676.08	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,182.57 / $22,387.21	Facility		$3,311.31	$13,182.57	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $954.99	Professional		$363.08	$537.03	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13