Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,025.60 / $18,620.87	Facility		$912.01	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,258.93	Professional		$407.38	$575.44	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $912.01 / $1,479.11	Professional		$512.86	$912.01	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $15,848.93	Facility		$616.60	$1,148.15	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $5,495.41	Professional		$575.44	$1,047.13	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $954.99	Facility		$630.96	$870.96	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $660.69	Facility		$645.65	$660.69	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,380.38	Professional		$660.69	$1,096.48	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $20,417.38 / $35,481.34	Facility		$1,995.26	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,348.96	Professional		$446.68	$676.08	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96