Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $4,073.80 / $17,782.79	Facility		$426.58	$4,073.80	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $602.56 / $3,467.37	Professional		$177.83	$602.56	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $13,803.84	Facility		$707.95	$758.58	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $870.96 / $5,754.40	Professional		$213.80	$870.96	$5,754.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $489.78 / $10,000.00	Facility		$177.83	$489.78	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $512.86 / $6,606.93	Professional		$177.83	$512.86	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,388.44 / $4,265.80	Facility		$295.12	$3,388.44	$4,265.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,548.13	Facility		$2,884.03	$3,019.95	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $5,370.32	Professional		$467.74	$1,071.52	$5,370.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $19,498.45 / $37,153.52	Facility		$13,803.84	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $2,398.83 / $4,897.79	Professional		$446.68	$2,398.83	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $19,952.62 / $36,307.81	Facility		$4,265.80	$19,952.62	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $741.31 / $4,570.88	Professional		$213.80	$741.31	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $3,311.31	Professional		$295.12	$562.34	$3,311.31