Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $6,456.54 / $24,547.09	Facility		$537.03	$6,456.54	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,174.90 / $3,090.30	Professional		$288.40	$1,174.90	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $933.25 / $4,073.80	Professional		$380.19	$933.25	$4,073.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,754.23 / $23,442.29	Facility		$524.81	$2,754.23	$23,442.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $2,238.72 / $4,265.80	Professional		$524.81	$2,238.72	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,884.03	Facility		$2,041.74	$2,511.89	$2,884.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $3,388.44	Professional		$398.11	$954.99	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,218.10 / $30,902.95	Facility		$11,748.98	$16,218.10	$30,902.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $891.25 / $3,090.30	Professional		$398.11	$891.25	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $20,892.96 / $33,884.42	Facility		$4,677.35	$20,892.96	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $3,311.31	Professional		$398.11	$1,318.26	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $2,570.40	Professional		$295.12	$489.78	$2,570.40