Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,818.38 / $17,782.79	Facility		$524.81	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $977.24 / $1,995.26	Professional		$269.15	$977.24	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $851.14 / $2,884.03	Professional		$309.03	$851.14	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $870.96 / $2,691.53	Facility		$380.19	$870.96	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $870.96 / $2,630.27	Professional		$331.13	$870.96	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,238.72	Facility		$1,412.54	$1,995.26	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,479.11	Facility		$1,445.44	$1,445.44	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,348.96 / $2,818.38	Professional		$407.38	$1,348.96	$2,818.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,000.00 / $2,454.71	Professional		$446.68	$1,000.00	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $660.69 / $6,165.95	Facility		$416.87	$660.69	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,047.13 / $2,691.53	Professional		$309.03	$1,047.13	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $457.09 / $1,584.89	Professional		$239.88	$457.09	$1,584.89