Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,548.13 / $18,620.87	Facility		$660.69	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $1,071.52	Professional		$316.23	$446.68	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,047.13	Professional		$436.52	$660.69	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $831.76 / $8,317.64	Facility		$457.09	$831.76	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $3,090.30	Professional		$446.68	$758.58	$3,090.30
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 $575.44 / $691.83 / $707.95	Facility		$575.44	$691.83	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Facility		$457.09	$478.63	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,023.29	Professional		$478.63	$794.33	$1,023.29
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 $467.74 / $676.08 / $912.01	Professional		$467.74	$676.08	$912.01
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 $346.74 / $562.34 / $977.24	Professional		$346.74	$562.34	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $616.60	Professional		$323.59	$436.52	$616.60