Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $7,762.47 / $20,892.96	Facility		$478.63	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $707.95	Professional		$218.78	$281.84	$707.95
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 $302.00 / $512.86 / $776.25	Professional		$302.00	$512.86	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $7,943.28	Facility		$331.13	$602.56	$7,943.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $3,162.28	Professional		$323.59	$562.34	$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 $407.38 / $489.78 / $512.86	Facility		$407.38	$489.78	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $741.31	Professional		$346.74	$575.44	$741.31
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 $346.74 / $489.78 / $660.69	Professional		$346.74	$489.78	$660.69
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 $239.88 / $389.05 / $724.44	Professional		$239.88	$389.05	$724.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $426.58	Professional		$223.87	$302.00	$426.58