Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,479.11 / $17,782.79	Facility		$363.08	$1,479.11	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $588.84	Professional		$177.83	$288.40	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,677.35	Facility		$645.65	$1,122.02	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $776.25	Professional		$245.47	$407.38	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $478.63 / $2,691.53	Facility		$302.00	$478.63	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $1,412.54	Professional		$302.00	$478.63	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $616.60	Facility		$416.87	$588.84	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $1,318.26	Facility		$426.58	$426.58	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $776.25	Professional		$263.03	$478.63	$776.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $436.52 / $645.65	Professional		$269.15	$436.52	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,244.36 / $12,882.50	Facility		$2,137.96	$7,244.36	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $407.38 / $776.25	Professional		$257.04	$407.38	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $323.59 / $467.74	Professional		$169.82	$323.59	$467.74