Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,818.38 / $22,908.68	Facility		$416.87	$2,818.38	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $741.31	Professional		$208.93	$354.81	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $3,981.07	Facility		$1,380.38	$1,698.24	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $933.25	Professional		$245.47	$436.52	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $524.81 / $2,818.38	Facility		$269.15	$524.81	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $1,000.00	Professional		$251.19	$457.09	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $758.58	Facility		$436.52	$630.96	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $524.81 / $1,862.09	Facility		$512.86	$524.81	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $954.99	Professional		$302.00	$549.54	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,378.01	Facility		$6,918.31	$9,332.54	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $831.76	Professional		$338.84	$549.54	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $724.44	Professional		$229.09	$380.19	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $537.03	Professional		$199.53	$380.19	$537.03