Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $9,332.54 / $18,620.87	Facility		$512.86	$9,332.54	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $363.08 / $1,412.54	Professional		$257.04	$363.08	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $8,317.64	Facility		$891.25	$1,071.52	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $812.83	Professional		$269.15	$426.58	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $575.44 / $6,760.83	Facility		$309.03	$575.44	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $501.19 / $3,715.35	Professional		$251.19	$501.19	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $123.03	Professional		$32.36	$33.11	$123.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $501.19 / $549.54	Facility		$407.38	$501.19	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $4,168.69	Facility		$363.08	$371.54	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $794.33	Professional		$371.54	$575.44	$794.33
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 $398.11 / $512.86 / $676.08	Professional		$398.11	$512.86	$676.08
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 $245.47 / $371.54 / $676.08	Professional		$245.47	$371.54	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $467.74	Professional		$245.47	$281.84	$467.74