Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,398.83 / $18,620.87	Facility		$645.65	$2,398.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $870.96 / $1,737.80	Professional		$338.84	$870.96	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,047.13 / $2,454.71	Professional		$426.58	$1,047.13	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,698.24 / $12,022.64	Facility		$616.60	$1,698.24	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,348.96 / $2,511.89	Professional		$616.60	$1,348.96	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,778.28	Facility		$1,318.26	$1,548.82	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Facility		$1,122.02	$1,122.02	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,047.13 / $2,041.74	Professional		$457.09	$1,047.13	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,120.11 / $17,378.01	Facility		$6,456.54	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,905.46	Professional		$457.09	$1,023.29	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $2,041.74	Professional		$446.68	$954.99	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $1,698.24	Professional		$354.81	$588.84	$1,698.24