Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,456.54 / $20,892.96	Facility		$616.60	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $1,000.00	Professional		$288.40	$416.87	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,398.83	Facility		$891.25	$1,071.52	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $1,000.00	Professional		$309.03	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $660.69 / $2,290.87	Facility		$338.84	$660.69	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $616.60 / $1,513.56	Professional		$302.00	$616.60	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $660.69	Facility		$489.78	$602.56	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $537.03	Facility		$426.58	$446.68	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $933.25	Professional		$446.68	$691.83	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $8,709.64	Facility		$3,311.31	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $831.76	Professional		$436.52	$616.60	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $851.14	Professional		$316.23	$457.09	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $602.56	Professional		$316.23	$363.08	$602.56