Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $18,620.87	Facility		$512.86	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $691.83	Professional		$223.87	$295.12	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $3,981.07	Facility		$501.19	$870.96	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $812.83	Professional		$263.03	$426.58	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $562.34 / $3,388.44	Facility		$269.15	$562.34	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,778.28	Professional		$239.88	$501.19	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $125.89	Professional		$32.36	$33.11	$125.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $549.54	Facility		$346.74	$489.78	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,995.26	Facility		$371.54	$371.54	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $812.83	Professional		$371.54	$575.44	$812.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $691.83	Professional		$398.11	$524.81	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $7,943.28 / $15,488.17	Facility		$933.25	$7,943.28	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $676.08	Professional		$239.88	$354.81	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $562.34	Professional		$295.12	$338.84	$562.34