Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $6,025.60 / $18,620.87	Facility		$512.86	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $758.58	Professional		$257.04	$338.84	$758.58
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 $331.13 / $512.86 / $812.83	Professional		$331.13	$512.86	$812.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $13,182.57	Facility		$363.08	$645.65	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $616.60 / $4,897.79	Professional		$346.74	$616.60	$4,897.79
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 $446.68 / $537.03 / $549.54	Facility		$446.68	$537.03	$549.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $371.54 / $371.54	Facility		$363.08	$371.54	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $794.33	Professional		$371.54	$616.60	$794.33
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 $371.54 / $524.81 / $707.95	Professional		$371.54	$524.81	$707.95
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 $281.84 / $446.68 / $794.33	Professional		$281.84	$446.68	$794.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $467.74	Professional		$245.47	$331.13	$467.74