Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,548.13 / $18,620.87	Facility		$660.69	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $1,122.02	Professional		$331.13	$436.52	$1,122.02
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 $446.68 / $660.69 / $1,047.13	Professional		$446.68	$660.69	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $4,466.84	Facility		$467.74	$831.76	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $3,090.30	Professional		$446.68	$794.33	$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 $562.34 / $691.83 / $707.95	Facility		$562.34	$691.83	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $478.63 / $478.63	Facility		$467.74	$478.63	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,023.29	Professional		$478.63	$794.33	$1,023.29
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 $478.63 / $676.08 / $912.01	Professional		$478.63	$676.08	$912.01
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 $354.81 / $575.44 / $1,000.00	Professional		$354.81	$575.44	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $588.84	Professional		$316.23	$426.58	$588.84