Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $17,782.79	Facility		$630.96	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,148.15	Professional		$309.03	$467.74	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $660.69 / $1,318.26	Professional		$354.81	$660.69	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $2,884.03	Facility		$407.38	$691.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,659.59	Professional		$407.38	$691.83	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $933.25	Facility		$660.69	$912.01	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $616.60 / $977.24	Facility		$602.56	$616.60	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,148.15	Professional		$467.74	$794.33	$1,148.15
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 $436.52 / $707.95 / $1,071.52	Professional		$436.52	$707.95	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,148.15	Professional		$407.38	$616.60	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $691.83	Professional		$316.23	$489.78	$691.83