Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $8,128.31 / $20,892.96	Facility		$891.25	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,412.54	Professional		$446.68	$575.44	$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 $562.34 / $891.25 / $1,412.54	Professional		$562.34	$891.25	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,122.02 / $9,549.93	Facility		$616.60	$1,122.02	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $3,090.30	Professional		$602.56	$1,047.13	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $954.99	Facility		$776.25	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $645.65 / $645.65	Facility		$630.96	$645.65	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,380.38	Professional		$645.65	$1,071.52	$1,380.38
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 $630.96 / $912.01 / $1,230.27	Professional		$630.96	$912.01	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,348.96	Professional		$467.74	$758.58	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $831.76	Professional		$436.52	$588.84	$831.76