Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $6,309.57 / $18,620.87	Facility		$912.01	$6,309.57	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $467.74 / $1,202.26	Professional		$371.54	$467.74	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,715.35	Facility		$2,238.72	$2,238.72	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,445.44	Professional		$512.86	$891.25	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,122.02 / $10,471.29	Facility		$562.34	$1,122.02	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,047.13 / $2,951.21	Professional		$549.54	$1,047.13	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $954.99	Facility		$691.83	$933.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $660.69 / $660.69	Facility		$549.54	$660.69	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $1,380.38	Professional		$660.69	$1,071.52	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,258.93	Professional		$562.34	$912.01	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,022.64 / $19,498.45	Facility		$2,454.71	$12,022.64	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,318.26	Professional		$426.58	$691.83	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $575.44 / $812.83	Professional		$426.58	$575.44	$812.83