Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,025.60 / $18,620.87	Facility		$724.44	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $954.99	Professional		$281.84	$389.05	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $10,000.00	Facility		$630.96	$758.58	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,174.90	Professional		$316.23	$575.44	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $707.95 / $10,471.29	Facility		$323.59	$707.95	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $645.65 / $8,317.64	Professional		$316.23	$645.65	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $758.58	Facility		$446.68	$630.96	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $524.81 / $3,162.28	Facility		$501.19	$524.81	$3,162.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $812.83 / $1,096.48	Professional		$524.81	$812.83	$1,096.48
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 $512.86 / $707.95 / $977.24	Professional		$512.86	$707.95	$977.24
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 $346.74 / $501.19 / $954.99	Professional		$346.74	$501.19	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $741.31	Professional		$398.11	$457.09	$741.31