Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,818.38 / $17,782.79	Facility		$977.24	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,380.38	Professional		$457.09	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $1,995.26	Facility		$630.96	$676.08	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $851.14 / $1,698.24	Professional		$489.78	$851.14	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $1,584.89	Facility		$489.78	$831.76	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,445.44	Professional		$489.78	$870.96	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,122.02	Facility		$741.31	$1,023.29	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $776.25	Facility		$741.31	$741.31	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,479.11	Professional		$707.95	$1,122.02	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,348.96	Professional		$691.83	$1,000.00	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,445.44	Professional		$562.34	$758.58	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25