Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $7,762.47 / $18,620.87	Facility		$588.84	$7,762.47	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,905.46	Professional		$407.38	$575.44	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Facility		$1,698.24	$1,698.24	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,318.26	Professional		$524.81	$831.76	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,047.13 / $7,762.47	Facility		$588.84	$1,047.13	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $2,238.72	Professional		$562.34	$954.99	$2,238.72
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 $724.44 / $851.14 / $891.25	Facility		$724.44	$851.14	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $616.60	Facility		$602.56	$616.60	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,318.26	Professional		$616.60	$1,000.00	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,148.15	Professional		$602.56	$870.96	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $17,378.01	Facility		$1,995.26	$10,471.29	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,258.93	Professional		$426.58	$691.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $812.83	Professional		$426.58	$575.44	$812.83