Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,513.56 / $17,782.79	Facility		$676.08	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $977.24	Professional		$323.59	$467.74	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $8,317.64	Facility		$630.96	$758.58	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,202.26	Professional		$363.08	$616.60	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $758.58 / $5,248.07	Facility		$426.58	$758.58	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $1,258.93	Professional		$371.54	$691.83	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $891.25	Facility		$645.65	$891.25	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $4,168.69	Facility		$616.60	$616.60	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,202.26	Professional		$457.09	$776.25	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,000.00	Professional		$524.81	$741.31	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $16,982.44 / $33,113.11	Facility		$1,548.82	$16,982.44	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $977.24	Professional		$371.54	$575.44	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $676.08	Professional		$309.03	$478.63	$676.08