Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $7,762.47 / $20,892.96	Facility		$245.47	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $436.52	Professional		$131.83	$165.96	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $389.05	Professional		$165.96	$263.03	$389.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $323.59 / $23,988.33	Facility		$204.17	$323.59	$23,988.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $6,760.83	Professional		$204.17	$295.12	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $57.54	Professional		$32.36	$33.11	$57.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $251.19 / $269.15	Facility		$218.78	$251.19	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $181.97	Facility		$177.83	$177.83	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $389.05	Professional		$181.97	$295.12	$389.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $15,488.17 / $29,512.09	Facility		$10,715.19	$15,488.17	$29,512.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $354.81	Professional		$181.97	$263.03	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,417.38 / $33,113.11	Facility		$4,677.35	$20,417.38	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $371.54	Professional		$141.25	$208.93	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $229.09	Professional		$138.04	$162.18	$229.09