Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,025.60 / $18,620.87	Facility		$977.24	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,258.93	Professional		$407.38	$524.81	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $14,454.40	Facility		$630.96	$676.08	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,548.82	Professional		$446.68	$776.25	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $977.24 / $11,481.54	Facility		$489.78	$977.24	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $8,912.51	Professional		$436.52	$912.01	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $891.25 / $1,023.29	Facility		$630.96	$891.25	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $2,818.38	Facility		$676.08	$691.83	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,445.44	Professional		$691.83	$1,071.52	$1,445.44
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 $691.83 / $954.99 / $1,288.25	Professional		$691.83	$954.99	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,288.25	Professional		$501.19	$691.83	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $954.99	Professional		$501.19	$588.84	$954.99