Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $8,128.31 / $20,892.96	Facility		$812.83	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,122.02	Professional		$398.11	$549.54	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,288.25	Professional		$537.03	$812.83	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,023.29 / $10,715.19	Facility		$562.34	$1,023.29	$10,715.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $6,025.60	Professional		$549.54	$954.99	$6,025.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $870.96	Facility		$676.08	$831.76	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $588.84	Facility		$575.44	$588.84	$588.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $21,379.62 / $40,738.03	Facility		$12,882.50	$21,379.62	$40,738.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,122.02	Professional		$588.84	$831.76	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $22,387.21 / $38,904.51	Facility		$2,454.71	$22,387.21	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,230.27	Professional		$426.58	$691.83	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $758.58	Professional		$398.11	$537.03	$758.58