Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,818.38 / $17,782.79	Facility		$263.03	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $954.99 / $2,511.89	Professional		$151.36	$954.99	$2,511.89
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 $181.97 / $870.96 / $3,090.30	Professional		$181.97	$870.96	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,513.56 / $3,548.13	Facility		$245.47	$1,513.56	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $707.95 / $2,951.21	Professional		$245.47	$707.95	$2,951.21
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 $1,621.81 / $2,187.76 / $2,344.23	Facility		$1,621.81	$2,187.76	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $467.74 / $2,884.03	Professional		$199.53	$467.74	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $20,892.96	Facility		$7,244.36	$10,964.78	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $501.19 / $2,951.21	Professional		$218.78	$501.19	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $1,148.15 / $2,754.23	Professional		$213.80	$1,148.15	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $2,290.87	Professional		$97.72	$162.18	$2,290.87