Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,025.60 / $18,620.87	Facility		$812.83	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,348.96	Professional		$407.38	$512.86	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,288.25	Professional		$512.86	$794.33	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $9,549.93	Facility		$562.34	$1,023.29	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $3,090.30	Professional		$537.03	$933.25	$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 $691.83 / $812.83 / $851.14	Facility		$691.83	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $588.84 / $588.84	Facility		$562.34	$588.84	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $954.99 / $1,258.93	Professional		$588.84	$954.99	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,772.37 / $19,054.61	Facility		$6,918.31	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,096.48	Professional		$575.44	$812.83	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,202.26	Professional		$426.58	$691.83	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Professional		$398.11	$537.03	$758.58