Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $18,620.87	Facility		$630.96	$2,570.40	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $1,047.13	Professional		$309.03	$457.09	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $3,981.07	Facility		$707.95	$870.96	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,288.25	Professional		$346.74	$630.96	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $660.69 / $2,691.53	Facility		$371.54	$660.69	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,513.56	Professional		$371.54	$645.65	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $831.76 / $912.01	Facility		$630.96	$831.76	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $794.33	Facility		$602.56	$616.60	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,122.02	Professional		$467.74	$794.33	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,378.01	Facility		$6,918.31	$9,332.54	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,047.13	Professional		$446.68	$707.95	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,481.54 / $19,054.61	Facility		$3,467.37	$11,481.54	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,071.52	Professional		$380.19	$562.34	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $645.65	Professional		$295.12	$457.09	$645.65