Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $17,782.79 / $24,547.09	Facility		$5,128.61	$17,782.79	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $478.63	Professional		$251.19	$288.40	$478.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $602.56 / $13,803.84	Facility		$416.87	$602.56	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $707.95	Professional		$331.13	$549.54	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $60.26	Professional		$44.67	$50.12	$60.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $1,148.15	Facility		$302.00	$501.19	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $354.81	Facility		$346.74	$346.74	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $741.31	Professional		$346.74	$575.44	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,782.79	Facility		$6,918.31	$9,332.54	$17,782.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $676.08	Professional		$363.08	$489.78	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $12,022.64 / $19,498.45	Facility		$3,467.37	$12,022.64	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $724.44	Professional		$281.84	$416.87	$724.44