Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $7,943.28 / $20,892.96	Facility		$436.52	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $776.25	Professional		$223.87	$288.40	$776.25
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 $288.40 / $436.52 / $707.95	Professional		$288.40	$436.52	$707.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $9,549.93	Facility		$316.23	$549.54	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $3,090.30	Professional		$302.00	$524.81	$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 $389.05 / $457.09 / $467.74	Facility		$389.05	$457.09	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $323.59 / $323.59	Facility		$316.23	$323.59	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $691.83	Professional		$323.59	$537.03	$691.83
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 $323.59 / $457.09 / $616.60	Professional		$323.59	$457.09	$616.60
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 $239.88 / $380.19 / $676.08	Professional		$239.88	$380.19	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $398.11	Professional		$213.80	$288.40	$398.11