Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $17,782.79	Facility		$630.96	$1,096.48	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,096.48	Professional		$338.84	$446.68	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $11,220.18	Facility		$6,760.83	$6,760.83	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,148.15	Professional		$501.19	$741.31	$1,148.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $11,748.98	Facility		$501.19	$831.76	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $812.83 / $5,011.87	Professional		$501.19	$812.83	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $812.83 / $851.14	Facility		$630.96	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $575.44	Facility		$562.34	$575.44	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,122.02	Professional		$467.74	$794.33	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $26,302.68 / $50,118.72	Facility		$17,782.79	$26,302.68	$50,118.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $977.24	Professional		$489.78	$707.95	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $32,359.37 / $56,234.13	Facility		$1,995.26	$32,359.37	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $1,148.15	Professional		$426.58	$616.60	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $630.96	Professional		$302.00	$446.68	$630.96