Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $17,782.79	Facility		$602.56	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $977.24	Professional		$281.84	$398.11	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,818.38	Facility		$562.34	$912.01	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,047.13	Professional		$389.05	$575.44	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $3,235.94	Facility		$467.74	$758.58	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,548.82	Professional		$478.63	$741.31	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $741.31 / $776.25	Facility		$549.54	$741.31	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $977.24	Facility		$524.81	$524.81	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,000.00	Professional		$436.52	$741.31	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $851.14	Professional		$436.52	$602.56	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $10,232.93 / $16,595.87	Facility		$1,862.09	$10,232.93	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,000.00	Professional		$398.11	$524.81	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $575.44	Professional		$281.84	$407.38	$575.44