Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,818.38 / $17,782.79	Facility		$97.72	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $1,174.90 / $2,398.83	Professional		$56.23	$1,174.90	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $1,071.52 / $3,311.31	Professional		$66.07	$1,071.52	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $1,737.80 / $3,630.78	Facility		$85.11	$1,737.80	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $3,388.44	Professional		$85.11	$177.83	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $2,691.53	Facility		$1,778.28	$2,187.76	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,862.09	Facility		$1,479.11	$1,479.11	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $3,311.31	Professional		$72.44	$173.78	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,495.41	Facility		$2,187.76	$2,951.21	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $181.97 / $3,388.44	Professional		$83.18	$181.97	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $6,918.31	Facility		$602.56	$3,467.37	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $1,288.25 / $3,162.28	Professional		$75.86	$1,288.25	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $169.82 / $2,570.40	Professional		$41.69	$169.82	$2,570.40