Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $7,943.28 / $20,892.96	Facility		$302.00	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $549.54	Professional		$165.96	$213.80	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Facility		$17,378.01	$17,378.01	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $489.78	Professional		$208.93	$323.59	$489.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $38,018.94	Facility		$257.04	$407.38	$38,018.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $15,848.93	Professional		$257.04	$371.54	$15,848.93
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 $269.15 / $316.23 / $346.74	Facility		$269.15	$316.23	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $478.63	Professional		$223.87	$371.54	$478.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $23,988.33 / $45,708.82	Facility		$16,982.44	$23,988.33	$45,708.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $436.52	Professional		$229.09	$323.59	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $28,840.32 / $48,977.88	Facility		$4,677.35	$28,840.32	$48,977.88
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $457.09	Professional		$177.83	$257.04	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $269.15	Professional		$165.96	$190.55	$269.15