Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $18,620.87	Facility		$489.78	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $1,047.13	Professional		$234.42	$389.05	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $3,715.35	Facility		$707.95	$758.58	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $512.86 / $1,096.48	Professional		$275.42	$512.86	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $549.54 / $2,884.03	Facility		$302.00	$549.54	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $1,659.59	Professional		$302.00	$549.54	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $134.90	Professional		$32.36	$33.11	$134.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $794.33	Facility		$537.03	$758.58	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $977.24	Facility		$524.81	$537.03	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $977.24	Professional		$354.81	$616.60	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $933.25	Professional		$338.84	$549.54	$933.25
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 $309.03 / $501.19 / $933.25	Professional		$309.03	$501.19	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $562.34	Professional		$239.88	$398.11	$562.34