Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,025.60 / $18,620.87	Facility		$676.08	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $954.99	Professional		$323.59	$446.68	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $8,128.31	Facility		$4,897.79	$4,897.79	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,071.52	Professional		$426.58	$676.08	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $851.14 / $13,182.57	Facility		$467.74	$851.14	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $6,606.93	Professional		$457.09	$794.33	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $707.95 / $724.44	Facility		$549.54	$707.95	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $489.78	Facility		$478.63	$489.78	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $812.83 / $1,071.52	Professional		$489.78	$812.83	$1,071.52
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 $489.78 / $691.83 / $933.25	Professional		$489.78	$691.83	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,023.29	Professional		$354.81	$575.44	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $645.65	Professional		$338.84	$457.09	$645.65