Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $7,762.47 / $20,892.96	Facility		$741.31	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,202.26	Professional		$389.05	$478.63	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Professional		$501.19	$776.25	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $15,488.17	Facility		$616.60	$977.24	$15,488.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $4,365.16	Professional		$616.60	$891.25	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $758.58 / $794.33	Facility		$645.65	$758.58	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $549.54	Facility		$537.03	$537.03	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,148.15	Professional		$549.54	$891.25	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,220.18 / $21,379.62	Facility		$7,244.36	$11,220.18	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,047.13	Professional		$549.54	$776.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,182.57 / $22,387.21	Facility		$3,311.31	$13,182.57	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $1,096.48	Professional		$416.87	$616.60	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $676.08	Professional		$407.38	$478.63	$676.08