Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,762.47 / $21,877.62	Facility		$691.83	$7,762.47	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,148.15	Professional		$346.74	$467.74	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45,708.82 / $45,708.82 / $45,708.82	Facility		$45,708.82	$45,708.82	$45,708.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,096.48	Professional		$478.63	$741.31	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $933.25 / $107,151.93	Facility		$588.84	$933.25	$107,151.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $39,810.72	Professional		$588.84	$851.14	$39,810.72
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 $602.56 / $707.95 / $758.58	Facility		$602.56	$707.95	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $512.86	Facility		$501.19	$501.19	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,071.52	Professional		$501.19	$851.14	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,286.14 / $66,069.34 / $128,824.96	Facility		$51,286.14	$66,069.34	$128,824.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $977.24	Professional		$524.81	$724.44	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $77,624.71 / $131,825.67	Facility		$33,884.42	$77,624.71	$131,825.67
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,047.13	Professional		$398.11	$588.84	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $630.96	Professional		$380.19	$446.68	$630.96