Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $17,782.79	Facility		$645.65	$1,122.02	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $1,122.02	Professional		$346.74	$457.09	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,174.90	Professional		$512.86	$758.58	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $851.14 / $6,606.93	Facility		$512.86	$851.14	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $2,754.23	Professional		$512.86	$831.76	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $154.88	Professional		$32.36	$33.11	$154.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $831.76 / $870.96	Facility		$645.65	$831.76	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Facility		$575.44	$588.84	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,148.15	Professional		$478.63	$831.76	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,023.29	Professional		$501.19	$724.44	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,174.90	Professional		$436.52	$630.96	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $457.09 / $645.65	Professional		$309.03	$457.09	$645.65