Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,025.60 / $18,620.87	Facility		$776.25	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $1,318.26	Professional		$380.19	$524.81	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,454.71	Facility		$645.65	$645.65	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,288.25	Professional		$407.38	$645.65	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $5,754.40	Facility		$501.19	$1,047.13	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $977.24 / $1,949.84	Professional		$501.19	$977.24	$1,949.84
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 $616.60 / $776.25 / $812.83	Facility		$616.60	$776.25	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $660.69	Facility		$537.03	$562.34	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,202.26	Professional		$562.34	$912.01	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $12,589.25	Facility		$4,786.30	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,258.93	Professional		$549.54	$851.14	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,122.02	Professional		$436.52	$602.56	$1,122.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $501.19 / $691.83	Professional		$54.95	$501.19	$691.83