Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,025.60 / $18,620.87	Facility		$741.31	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $1,230.27	Professional		$371.54	$478.63	$1,230.27
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 $467.74 / $741.31 / $1,174.90	Professional		$467.74	$741.31	$1,174.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $933.25 / $9,549.93	Facility		$512.86	$933.25	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $3,090.30	Professional		$501.19	$870.96	$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 $645.65 / $758.58 / $794.33	Facility		$645.65	$758.58	$794.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $537.03 / $537.03	Facility		$524.81	$537.03	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $1,148.15	Professional		$537.03	$891.25	$1,148.15
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 $524.81 / $758.58 / $1,023.29	Professional		$524.81	$758.58	$1,023.29
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 $389.05 / $630.96 / $1,122.02	Professional		$389.05	$630.96	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $691.83	Professional		$363.08	$489.78	$691.83