Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,754.23 / $18,620.87	Facility		$346.74	$2,754.23	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $1,000.00	Professional		$169.82	$257.04	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $2,454.71	Facility		$707.95	$912.01	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $1,258.93	Professional		$194.98	$354.81	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $467.74 / $1,778.28	Facility		$229.09	$467.74	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $407.38 / $1,380.38	Professional		$190.55	$407.38	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $870.96 / $1,071.52	Facility		$302.00	$870.96	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $741.31 / $1,230.27	Facility		$257.04	$741.31	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $562.34 / $1,380.38	Professional		$263.03	$562.34	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $10,232.93	Facility		$3,630.78	$5,370.32	$10,232.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $1,148.15	Professional		$302.00	$380.19	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,025.60 / $10,715.19	Facility		$933.25	$6,025.60	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $741.31	Professional		$190.55	$295.12	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $812.83	Professional		$177.83	$338.84	$812.83