Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $6,025.60 / $18,620.87	Facility		$831.76	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $1,148.15	Professional		$371.54	$501.19	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $44,668.36	Facility		$630.96	$758.58	$44,668.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,318.26	Professional		$398.11	$707.95	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $36,307.81	Facility		$380.19	$831.76	$36,307.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $794.33 / $26,915.35	Professional		$380.19	$794.33	$26,915.35
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 $588.84 / $812.83 / $891.25	Facility		$588.84	$812.83	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $616.60 / $10,000.00	Facility		$588.84	$616.60	$10,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $1,288.25	Professional		$616.60	$954.99	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $50,118.72 / $97,723.72	Facility		$37,153.52	$50,118.72	$97,723.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,122.02	Professional		$602.56	$851.14	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $53,703.18 / $102,329.30	Facility		$11,220.18	$53,703.18	$102,329.30
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,174.90	Professional		$457.09	$616.60	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $870.96	Professional		$467.74	$537.03	$870.96