Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,818.38 / $17,782.79	Facility		$724.44	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,071.52	Professional		$338.84	$489.78	$1,071.52
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 $467.74 / $724.44 / $1,288.25	Professional		$467.74	$724.44	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $3,235.94	Facility		$575.44	$954.99	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,584.89	Professional		$575.44	$933.25	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $245.47	Professional		$32.36	$33.11	$245.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $977.24 / $1,023.29	Facility		$707.95	$977.24	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $977.24	Facility		$676.08	$691.83	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,288.25	Professional		$524.81	$912.01	$1,288.25
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 $524.81 / $758.58 / $1,071.52	Professional		$524.81	$758.58	$1,071.52
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 $489.78 / $676.08 / $1,318.26	Professional		$489.78	$676.08	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $741.31	Professional		$331.13	$524.81	$741.31