Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,000.00 / $17,782.79	Facility		$537.03	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $323.59 / $758.58	Professional		$245.47	$323.59	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $4,466.84	Facility		$467.74	$562.34	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $954.99	Professional		$269.15	$478.63	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $489.78 / $2,884.03	Facility		$269.15	$489.78	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,659.59	Professional		$269.15	$489.78	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $562.34 / $645.65	Facility		$398.11	$562.34	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $977.24	Facility		$416.87	$436.52	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $831.76	Professional		$398.11	$630.96	$831.76
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 $371.54 / $549.54 / $758.58	Professional		$371.54	$549.54	$758.58
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 $281.84 / $416.87 / $794.33	Professional		$281.84	$416.87	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $537.03	Professional		$281.84	$380.19	$537.03