Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,513.56 / $17,782.79	Facility		$537.03	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $436.52 / $891.25	Professional		$281.84	$436.52	$891.25
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 $416.87 / $691.83 / $1,096.48	Professional		$416.87	$691.83	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $4,466.84	Facility		$407.38	$741.31	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,737.80	Professional		$416.87	$707.95	$1,737.80
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 $602.56 / $741.31 / $831.76	Facility		$602.56	$741.31	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $691.83 / $1,000.00	Professional		$380.19	$691.83	$1,000.00
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 $426.58 / $616.60 / $954.99	Professional		$426.58	$616.60	$954.99
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 $354.81 / $588.84 / $1,023.29	Professional		$354.81	$588.84	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $407.38 / $575.44	Professional		$263.03	$407.38	$575.44