Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,513.56 / $17,782.79	Facility		$239.88	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $524.81	Professional		$117.49	$218.78	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Facility		$2,290.87	$2,290.87	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $616.60	Professional		$190.55	$338.84	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $338.84 / $4,365.16	Facility		$181.97	$338.84	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $1,698.24	Professional		$186.21	$316.23	$1,698.24
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 $295.12 / $407.38 / $436.52	Facility		$295.12	$407.38	$436.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $295.12	Facility		$288.40	$295.12	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $302.00 / $549.54	Professional		$169.82	$302.00	$549.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $10,715.19 / $20,417.38	Facility		$6,918.31	$10,715.19	$20,417.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $512.86	Professional		$181.97	$295.12	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,882.50 / $22,387.21	Facility		$1,698.24	$12,882.50	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $537.03	Professional		$154.88	$275.42	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $309.03	Professional		$104.71	$199.53	$309.03