Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,818.38 / $17,782.79	Facility		$630.96	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $1,230.27	Professional		$288.40	$501.19	$1,230.27
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 $416.87 / $691.83 / $1,380.38	Professional		$416.87	$691.83	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $3,235.94	Facility		$489.78	$831.76	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,737.80	Professional		$489.78	$831.76	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,096.48	Facility		$676.08	$954.99	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $977.24	Facility		$724.44	$724.44	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,348.96	Professional		$457.09	$831.76	$1,348.96
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 $457.09 / $741.31 / $1,096.48	Professional		$457.09	$741.31	$1,096.48
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 $407.38 / $645.65 / $1,318.26	Professional		$407.38	$645.65	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $588.84 / $831.76	Professional		$316.23	$588.84	$831.76