Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,818.38 / $17,782.79	Facility		$181.97	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $389.05 / $1,318.26	Professional		$91.20	$389.05	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $2,089.30	Facility		$870.96	$870.96	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $389.05 / $1,621.81	Professional		$107.15	$389.05	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $724.44 / $1,778.28	Facility		$120.23	$724.44	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $588.84 / $1,621.81	Professional		$112.20	$588.84	$1,621.81
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 $758.58 / $1,096.48 / $1,348.96	Facility		$758.58	$1,096.48	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $912.01	Facility		$776.25	$776.25	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $776.25 / $1,698.24	Professional		$131.83	$776.25	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $8,317.64	Facility		$2,818.38	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $346.74 / $1,445.44	Professional		$125.89	$346.74	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $8,912.51	Facility		$1,122.02	$5,495.41	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $512.86 / $1,288.25	Professional		$107.15	$512.86	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $1,047.13	Professional		$77.62	$147.91	$1,047.13