Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $17,782.79	Facility		$354.81	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $575.44	Professional		$186.21	$245.47	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $630.96	Professional		$263.03	$407.38	$630.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $446.68 / $2,570.40	Facility		$263.03	$446.68	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $1,023.29	Professional		$263.03	$446.68	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $436.52 / $467.74	Facility		$323.59	$436.52	$467.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $316.23	Facility		$309.03	$316.23	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $616.60	Professional		$263.03	$446.68	$616.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,754.40 / $10,964.78	Facility		$4,168.69	$5,754.40	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $389.05 / $537.03	Professional		$275.42	$389.05	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $12,589.25	Facility		$1,995.26	$7,762.47	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $602.56	Professional		$229.09	$331.13	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $331.13	Professional		$169.82	$239.88	$331.13