Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $7,943.28 / $24,547.09	Facility		$676.08	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $1,445.44	Professional		$354.81	$467.74	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility		$43,651.58	$43,651.58	$43,651.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,071.52	Professional		$457.09	$724.44	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $891.25 / $107,151.93	Facility		$562.34	$891.25	$107,151.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $38,904.51	Professional		$562.34	$812.83	$38,904.51
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 $588.84 / $676.08 / $794.33	Facility		$588.84	$676.08	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Facility		$489.78	$489.78	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $1,047.13	Professional		$501.19	$812.83	$1,047.13
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 $501.19 / $707.95 / $954.99	Professional		$501.19	$707.95	$954.99
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 $380.19 / $602.56 / $1,000.00	Professional		$380.19	$602.56	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $602.56	Professional		$363.08	$426.58	$602.56