Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $8,128.31 / $20,892.96	Facility		$380.19	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $676.08	Professional		$173.78	$223.87	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,981.07	Facility		$891.25	$1,071.52	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $588.84	Professional		$199.53	$331.13	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $416.87 / $3,467.37	Facility		$223.87	$416.87	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $371.54 / $1,819.70	Professional		$186.21	$371.54	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $407.38	Facility		$281.84	$371.54	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $275.42 / $1,862.09	Facility		$263.03	$275.42	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $588.84	Professional		$275.42	$426.58	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $380.19 / $512.86	Professional		$295.12	$380.19	$512.86
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 $181.97 / $269.15 / $501.19	Professional		$181.97	$269.15	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $354.81	Professional		$186.21	$213.80	$354.81