Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,762.47 / $20,892.96	Facility		$912.01	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,202.26	Professional		$416.87	$537.03	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,818.38	Facility		$707.95	$870.96	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,479.11	Professional		$436.52	$776.25	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $2,951.21	Facility		$478.63	$977.24	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $933.25 / $1,949.84	Professional		$446.68	$933.25	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $218.78	Professional		$32.36	$33.11	$218.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $891.25 / $977.24	Facility		$660.69	$891.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $660.69	Facility		$630.96	$645.65	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,380.38	Professional		$660.69	$1,023.29	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,230.27	Professional		$645.65	$912.01	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,918.31 / $11,748.98	Facility		$1,122.02	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,258.93	Professional		$467.74	$691.83	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $891.25	Professional		$467.74	$537.03	$891.25