Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,778.28 / $18,620.87	Facility		$316.23	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $537.03	Professional		$151.36	$218.78	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $660.69	Professional		$177.83	$316.23	$660.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $323.59 / $2,884.03	Facility		$181.97	$323.59	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $323.59 / $1,659.59	Professional		$181.97	$323.59	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $398.11 / $467.74	Facility		$288.40	$398.11	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $323.59 / $977.24	Facility		$302.00	$323.59	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $588.84	Professional		$239.88	$407.38	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $524.81	Professional		$218.78	$346.74	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $537.03	Professional		$186.21	$281.84	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $363.08	Professional		$162.18	$257.04	$363.08