Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,548.13 / $18,620.87	Facility		$912.01	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $588.84 / $1,412.54	Professional		$457.09	$588.84	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,445.44	Professional		$616.60	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,148.15 / $8,317.64	Facility		$645.65	$1,148.15	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $3,090.30	Professional		$616.60	$1,071.52	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $933.25 / $977.24	Facility		$758.58	$933.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $660.69	Facility		$645.65	$660.69	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,412.54	Professional		$660.69	$1,096.48	$1,412.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $12,302.69 / $20,892.96	Facility		$933.25	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $1,380.38	Professional		$489.78	$794.33	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $812.83	Professional		$426.58	$575.44	$812.83