Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $17,782.79	Facility		$602.56	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $1,584.89	Professional		$263.03	$457.09	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $1,318.26	Professional		$407.38	$794.33	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $831.76 / $1,905.46	Facility		$436.52	$831.76	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,318.26	Professional		$457.09	$794.33	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $954.99	Facility		$645.65	$891.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,230.27	Professional		$436.52	$776.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,570.88 / $8,709.64	Facility		$3,388.44	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,148.15	Professional		$457.09	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $11,220.18	Facility		$1,995.26	$6,165.95	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,202.26	Professional		$380.19	$630.96	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $741.31	Professional		$316.23	$524.81	$741.31