Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,370.32 / $18,620.87	Facility		$912.01	$5,370.32	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,318.26	Professional		$457.09	$575.44	$1,318.26
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 $588.84 / $912.01 / $1,445.44	Professional		$588.84	$912.01	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $13,182.57	Facility		$645.65	$1,174.90	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $4,897.79	Professional		$616.60	$1,071.52	$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 $794.33 / $933.25 / $977.24	Facility		$794.33	$933.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $660.69	Facility		$645.65	$660.69	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,412.54	Professional		$660.69	$1,096.48	$1,412.54
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 $660.69 / $933.25 / $1,258.93	Professional		$660.69	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $18,620.87 / $32,359.37	Facility		$2,454.71	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,380.38	Professional		$489.78	$776.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $851.14	Professional		$446.68	$602.56	$851.14