Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $10,232.93 / $28,183.83	Facility		$194.98	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $194.98 / $302.00	Professional		$91.20	$194.98	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,348.96	Facility		$501.19	$870.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $295.12	Professional		$245.47	$245.47	$295.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $3,801.89	Facility		$575.44	$954.99	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,258.93	Professional		$562.34	$870.96	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $831.76	Facility		$91.20	$181.97	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $288.40 / $309.03	Facility		$269.15	$288.40	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $602.56	Professional		$288.40	$426.58	$602.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,897.79	Facility		$1,778.28	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $380.19 / $524.81	Professional		$275.42	$380.19	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $5,011.87	Facility		$891.25	$3,090.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $549.54	Professional		$208.93	$302.00	$549.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $275.42	Professional		$114.82	$194.98	$275.42