Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,513.56 / $17,782.79	Facility		$467.74	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $707.95	Professional		$229.09	$338.84	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,981.07	Facility		$630.96	$758.58	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $912.01	Professional		$263.03	$457.09	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $537.03 / $2,511.89	Facility		$275.42	$537.03	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $912.01	Professional		$257.04	$478.63	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $588.84 / $707.95	Facility		$407.38	$588.84	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $1,995.26	Facility		$467.74	$478.63	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $891.25	Professional		$338.84	$588.84	$891.25
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 $380.19 / $549.54 / $758.58	Professional		$380.19	$549.54	$758.58
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 $245.47 / $389.05 / $707.95	Professional		$245.47	$389.05	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $398.11 / $549.54	Professional		$245.47	$398.11	$549.54