Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $7,762.47 / $20,892.96	Facility		$741.31	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,047.13	Professional		$354.81	$457.09	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $14,791.08	Facility		$707.95	$870.96	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,202.26	Professional		$363.08	$645.65	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $12,882.50	Facility		$436.52	$794.33	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $8,511.38	Professional		$436.52	$776.25	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $177.83	Professional		$32.36	$33.11	$177.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $776.25	Facility		$645.65	$758.58	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $537.03 / $3,090.30	Facility		$512.86	$537.03	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,122.02	Professional		$537.03	$831.76	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,000.00	Professional		$524.81	$741.31	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $1,071.52	Professional		$398.11	$602.56	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $691.83	Professional		$363.08	$426.58	$691.83