Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $7,943.28 / $20,892.96	Facility		$575.44	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $912.01	Professional		$288.40	$380.19	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $588.84 / $933.25	Professional		$380.19	$588.84	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $724.44 / $16,982.44	Facility		$426.58	$724.44	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $4,466.84	Professional		$398.11	$676.08	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $602.56 / $616.60	Facility		$512.86	$602.56	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $426.58 / $426.58	Facility		$416.87	$426.58	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $912.01	Professional		$426.58	$707.95	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $37,153.52	Facility		$12,882.50	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $812.83	Professional		$426.58	$616.60	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $24,547.09 / $42,657.95	Facility		$2,454.71	$24,547.09	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $891.25	Professional		$309.03	$501.19	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $501.19	Professional		$263.03	$354.81	$501.19