Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,818.38 / $17,782.79	Facility		$776.25	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,202.26	Professional		$354.81	$575.44	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $2,818.38	Facility		$630.96	$676.08	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $1,698.24	Professional		$416.87	$776.25	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $2,238.72	Facility		$436.52	$794.33	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,584.89	Professional		$436.52	$776.25	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,258.93	Facility		$741.31	$1,047.13	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $851.14	Facility		$741.31	$741.31	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,479.11	Professional		$562.34	$933.25	$1,479.11
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 $501.19 / $851.14 / $1,318.26	Professional		$501.19	$851.14	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,380.38	Professional		$457.09	$724.44	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $977.24	Professional		$398.11	$691.83	$977.24