Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,905.46 / $13,803.84	Facility		$245.47	$1,905.46	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $537.03 / $1,548.82	Professional		$125.89	$537.03	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $1,122.02	Facility		$588.84	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $446.68 / $1,698.24	Professional		$169.82	$446.68	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $707.95 / $1,698.24	Facility		$213.80	$707.95	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $660.69 / $1,621.81	Professional		$213.80	$660.69	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,023.29 / $1,318.26	Facility		$457.09	$1,023.29	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $870.96 / $912.01	Facility		$398.11	$870.96	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $537.03 / $1,621.81	Professional		$181.97	$537.03	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $3,801.89	Facility		$1,348.96	$1,995.26	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $436.52 / $1,348.96	Professional		$181.97	$436.52	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,454.71 / $4,786.30	Facility		$676.08	$2,454.71	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $616.60 / $1,584.89	Professional		$181.97	$616.60	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $223.87 / $912.01	Professional		$117.49	$223.87	$912.01