Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,548.13 / $18,620.87	Facility		$380.19	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $1,023.29	Professional		$177.83	$234.42	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $616.60	Professional		$229.09	$389.05	$616.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $7,943.28	Facility		$257.04	$467.74	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $3,162.28	Professional		$257.04	$446.68	$3,162.28
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 $302.00 / $371.54 / $407.38	Facility		$302.00	$371.54	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $281.84 / $281.84	Facility		$275.42	$281.84	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $588.84	Professional		$281.84	$467.74	$588.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $16,982.44	Facility		$5,888.44	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $389.05 / $524.81	Professional		$281.84	$389.05	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $309.03 / $575.44	Professional		$186.21	$309.03	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $338.84	Professional		$177.83	$239.88	$338.84