Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $7,943.28 / $20,892.96	Facility		$758.58	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $1,174.90	Professional		$380.19	$467.74	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $7,762.47	Facility		$1,862.09	$2,290.87	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,202.26	Professional		$398.11	$645.65	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $870.96 / $10,232.93	Facility		$489.78	$870.96	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $5,623.41	Professional		$398.11	$758.58	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $812.83	Facility		$660.69	$776.25	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $3,715.35	Facility		$537.03	$549.54	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,174.90	Professional		$549.54	$851.14	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility		$10,715.19	$16,218.10	$30,902.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,023.29	Professional		$616.60	$776.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $17,378.01 / $33,884.42	Facility		$2,137.96	$17,378.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,023.29	Professional		$389.05	$602.56	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $691.83	Professional		$363.08	$416.87	$691.83