Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,548.13 / $18,620.87	Facility		$870.96	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,412.54	Professional		$436.52	$575.44	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,380.38	Professional		$562.34	$870.96	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,096.48 / $13,182.57	Facility		$616.60	$1,096.48	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $4,897.79	Professional		$588.84	$1,023.29	$4,897.79
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 / $912.01 / $933.25	Facility		$758.58	$912.01	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $630.96	Facility		$616.60	$630.96	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,047.13 / $1,348.96	Professional		$630.96	$1,047.13	$1,348.96
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 $630.96 / $891.25 / $1,202.26	Professional		$630.96	$891.25	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $18,620.87 / $32,359.37	Facility		$1,698.24	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $758.58 / $1,318.26	Professional		$478.63	$758.58	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $776.25	Professional		$416.87	$562.34	$776.25