Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,778.28 / $18,620.87	Facility		$602.56	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $851.14	Professional		$275.42	$346.74	$851.14
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 $389.05 / $676.08 / $1,023.29	Professional		$389.05	$676.08	$1,023.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $741.31 / $4,466.84	Facility		$407.38	$741.31	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,778.28	Professional		$407.38	$691.83	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $660.69 / $741.31	Facility		$467.74	$660.69	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $501.19 / $501.19	Facility		$489.78	$501.19	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,000.00	Professional		$436.52	$758.58	$1,000.00
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 $436.52 / $645.65 / $891.25	Professional		$436.52	$645.65	$891.25
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 $354.81 / $512.86 / $954.99	Professional		$354.81	$512.86	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $537.03	Professional		$281.84	$398.11	$537.03