Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $7,762.47 / $20,892.96	Facility		$676.08	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,071.52	Professional		$354.81	$446.68	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $15,488.17	Facility		$1,862.09	$1,995.26	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $1,096.48	Professional		$363.08	$602.56	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $794.33 / $14,454.40	Facility		$467.74	$794.33	$14,454.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $691.83 / $8,511.38	Professional		$354.81	$691.83	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $812.83	Facility		$602.56	$724.44	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $6,025.60	Facility		$489.78	$501.19	$6,025.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,071.52	Professional		$501.19	$776.25	$1,071.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $28,840.32 / $56,234.13	Facility		$19,054.61	$28,840.32	$56,234.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $707.95 / $933.25	Professional		$562.34	$707.95	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $30,199.52 / $58,884.37	Facility		$3,235.94	$30,199.52	$58,884.37
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $954.99	Professional		$371.54	$588.84	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $645.65	Professional		$338.84	$389.05	$645.65