Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $338.84	Professional		$204.17	$295.12	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $2,454.71	Facility		$501.19	$870.96	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,412.54	Professional		$478.63	$478.63	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,454.71 / $3,890.45	Facility		$831.76	$2,454.71	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $79.43	Professional		$30.20	$64.57	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $691.83 / $1,737.80	Facility		$281.84	$691.83	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $416.87 / $891.25	Facility		$398.11	$416.87	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $891.25	Professional		$416.87	$616.60	$891.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $10,232.93	Facility		$3,467.37	$5,370.32	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $758.58	Professional		$398.11	$562.34	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $776.25	Professional		$302.00	$457.09	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $446.68	Professional		$123.03	$234.42	$446.68