Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $6,025.60 / $18,620.87	Facility		$630.96	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $1,000.00	Professional		$316.23	$426.58	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,630.27	Facility		$630.96	$758.58	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $1,023.29	Professional		$354.81	$588.84	$1,023.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $724.44 / $2,454.71	Facility		$407.38	$724.44	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,621.81	Professional		$407.38	$691.83	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $741.31	Facility		$549.54	$660.69	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $457.09 / $602.56	Facility		$436.52	$457.09	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $977.24	Professional		$457.09	$707.95	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $630.96 / $870.96	Professional		$446.68	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,760.83 / $11,220.18	Facility		$1,122.02	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $933.25	Professional		$371.54	$537.03	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $588.84	Professional		$309.03	$354.81	$588.84