Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $7,762.47 / $20,892.96	Facility		$380.19	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $537.03	Professional		$177.83	$213.80	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,311.31	Facility		$707.95	$912.01	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $588.84	Professional		$199.53	$323.59	$588.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $407.38 / $3,467.37	Facility		$223.87	$407.38	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $363.08 / $1,819.70	Professional		$181.97	$363.08	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $363.08 / $398.11	Facility		$281.84	$363.08	$398.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $269.15 / $1,862.09	Facility		$257.04	$269.15	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $575.44	Professional		$269.15	$416.87	$575.44
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 $288.40 / $371.54 / $501.19	Professional		$288.40	$371.54	$501.19
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 $177.83 / $263.03 / $489.78	Professional		$177.83	$263.03	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $346.74	Professional		$181.97	$208.93	$346.74