Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $7,943.28 / $18,620.87	Facility		$691.83	$7,943.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $1,380.38	Professional		$354.81	$467.74	$1,380.38
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 $467.74 / $676.08 / $1,096.48	Professional		$467.74	$676.08	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $912.01 / $13,803.84	Facility		$575.44	$912.01	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $3,388.44	Professional		$575.44	$831.76	$3,388.44
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 $602.56 / $707.95 / $741.31	Facility		$602.56	$707.95	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,071.52	Professional		$501.19	$831.76	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $977.24	Professional		$512.86	$724.44	$977.24
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 $389.05 / $562.34 / $1,023.29	Professional		$389.05	$562.34	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $645.65	Professional		$389.05	$457.09	$645.65