Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,456.54 / $20,892.96	Facility		$1,737.80	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $371.54	Professional		$107.15	$181.97	$371.54
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 $223.87 / $223.87 / $269.15	Professional		$223.87	$223.87	$269.15
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 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $831.76	Facility		$75.86	$162.18	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $263.03 / $309.03	Facility		$239.88	$263.03	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $537.03	Professional		$263.03	$380.19	$537.03
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 $245.47 / $346.74 / $467.74	Professional		$245.47	$346.74	$467.74
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 $190.55 / $269.15 / $501.19	Professional		$190.55	$269.15	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $245.47	Professional		$97.72	$173.78	$245.47