Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $2,290.87 / $17,782.79	Facility		$281.84	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $691.83	Professional		$141.25	$251.19	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $5,495.41	Facility		$467.74	$562.34	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $316.23 / $691.83	Professional		$165.96	$316.23	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $338.84 / $3,467.37	Facility		$173.78	$338.84	$3,467.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $331.13 / $2,041.74	Professional		$173.78	$331.13	$2,041.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $501.19	Facility		$338.84	$467.74	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,348.96	Facility		$331.13	$331.13	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $363.08 / $602.56	Professional		$204.17	$363.08	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,549.93 / $18,620.87	Facility		$6,760.83	$9,549.93	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $575.44	Professional		$194.98	$338.84	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,022.64 / $19,952.62	Facility		$2,454.71	$12,022.64	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $309.03 / $616.60	Professional		$177.83	$309.03	$616.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $257.04 / $363.08	Professional		$138.04	$257.04	$363.08