Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $3,630.78 / $10,715.19	Facility		$407.38	$3,630.78	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $851.14	Professional		$194.98	$323.59	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,344.23	Facility		$562.34	$912.01	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $457.09 / $870.96	Professional		$275.42	$457.09	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $537.03 / $1,047.13	Facility		$323.59	$537.03	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $537.03 / $891.25	Professional		$338.84	$537.03	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $660.69 / $707.95	Facility		$478.63	$660.69	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $758.58	Facility		$467.74	$467.74	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $870.96	Professional		$295.12	$537.03	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $707.95	Professional		$295.12	$478.63	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $5,888.44	Facility		$1,047.13	$2,754.23	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $870.96	Professional		$281.84	$446.68	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $524.81	Professional		$194.98	$371.54	$524.81