Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $6,025.60 / $18,620.87	Facility		$501.19	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $323.59 / $724.44	Professional		$239.88	$323.59	$724.44
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 $316.23 / $501.19 / $794.33	Professional		$316.23	$501.19	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $8,317.64	Facility		$346.74	$630.96	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $588.84 / $3,090.30	Professional		$338.84	$588.84	$3,090.30
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 $436.52 / $512.86 / $524.81	Facility		$436.52	$512.86	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $363.08 / $363.08	Facility		$354.81	$363.08	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $776.25	Professional		$363.08	$602.56	$776.25
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 $363.08 / $512.86 / $691.83	Professional		$363.08	$512.86	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,302.69 / $20,892.96	Facility		$1,698.24	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $426.58 / $758.58	Professional		$251.19	$426.58	$758.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $338.84	Professional		$100.00	$190.55	$338.84