Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,943.28 / $24,547.09	Facility		$891.25	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,258.93	Professional		$407.38	$524.81	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $4,466.84	Facility		$1,380.38	$1,698.24	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,412.54	Professional		$446.68	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $4,265.80	Facility		$478.63	$954.99	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $891.25 / $2,818.38	Professional		$446.68	$891.25	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $870.96 / $933.25	Facility		$724.44	$870.96	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $977.24	Facility		$616.60	$645.65	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,348.96	Professional		$645.65	$1,000.00	$1,348.96
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 $630.96 / $891.25 / $1,202.26	Professional		$630.96	$891.25	$1,202.26
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 $457.09 / $676.08 / $1,258.93	Professional		$457.09	$676.08	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $851.14	Professional		$446.68	$512.86	$851.14