Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $3,548.13 / $18,620.87	Facility		$630.96	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $851.14	Professional		$295.12	$363.08	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,818.38	Facility		$467.74	$562.34	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $1,000.00	Professional		$281.84	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $691.83 / $2,511.89	Facility		$371.54	$691.83	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $616.60 / $1,412.54	Professional		$316.23	$616.60	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $676.08	Facility		$512.86	$630.96	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $467.74 / $1,479.11	Facility		$446.68	$467.74	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,000.00	Professional		$467.74	$724.44	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $851.14	Professional		$501.19	$630.96	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,456.54 / $11,481.54	Facility		$933.25	$6,456.54	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $831.76	Professional		$316.23	$457.09	$831.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $645.65	Professional		$338.84	$389.05	$645.65