Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $6,025.60 / $18,620.87	Facility		$478.63	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $331.13 / $1,096.48	Professional		$239.88	$331.13	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $8,511.38	Facility		$5,011.87	$5,011.87	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $758.58	Professional		$316.23	$478.63	$758.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $13,182.57	Facility		$338.84	$602.56	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $6,918.31	Professional		$338.84	$562.34	$6,918.31
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 $416.87 / $501.19 / $524.81	Facility		$416.87	$501.19	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $741.31	Professional		$346.74	$575.44	$741.31
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 $354.81 / $501.19 / $691.83	Professional		$354.81	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $18,620.87 / $32,359.37	Facility		$3,467.37	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $446.68 / $870.96	Professional		$269.15	$446.68	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $426.58	Professional		$223.87	$302.00	$426.58