Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $7,762.47 / $20,892.96	Facility		$645.65	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $1,202.26	Professional		$295.12	$398.11	$1,202.26
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 $380.19 / $645.65 / $1,047.13	Professional		$380.19	$645.65	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $794.33 / $8,511.38	Facility		$426.58	$794.33	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $3,162.28	Professional		$426.58	$741.31	$3,162.28
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 $478.63 / $630.96 / $691.83	Facility		$478.63	$630.96	$691.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $467.74 / $467.74	Facility		$457.09	$467.74	$467.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,000.00	Professional		$467.74	$776.25	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,912.51 / $16,982.44	Facility		$6,456.54	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $891.25	Professional		$467.74	$660.69	$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 $309.03 / $512.86 / $954.99	Professional		$309.03	$512.86	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $575.44	Professional		$309.03	$416.87	$575.44