Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $7,943.28 / $20,892.96	Facility		$346.74	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $489.78	Professional		$165.96	$213.80	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $562.34	Professional		$257.04	$371.54	$562.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $457.09 / $12,022.64	Facility		$275.42	$457.09	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $4,265.80	Professional		$257.04	$426.58	$4,265.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $389.05	Facility		$309.03	$363.08	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $263.03	Facility		$257.04	$263.03	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $436.52 / $537.03	Professional		$257.04	$436.52	$537.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,182.57 / $25,118.86	Facility		$8,511.38	$13,182.57	$25,118.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $489.78	Professional		$269.15	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $16,218.10 / $26,302.68	Facility		$3,467.37	$16,218.10	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $549.54	Professional		$190.55	$316.23	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $302.00	Professional		$158.49	$213.80	$302.00