Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,513.56 / $17,782.79	Facility		$416.87	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $870.96	Professional		$190.55	$331.13	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $512.86 / $912.01	Facility		$331.13	$512.86	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $1,000.00	Professional		$275.42	$501.19	$1,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $524.81 / $1,000.00	Facility		$323.59	$524.81	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $537.03 / $933.25	Professional		$323.59	$537.03	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $776.25	Facility		$407.38	$691.83	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $524.81 / $524.81	Facility		$229.09	$524.81	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $954.99	Professional		$302.00	$549.54	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,137.96	Facility		$776.25	$1,122.02	$2,137.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $794.33	Professional		$295.12	$512.86	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,513.56 / $3,235.94	Facility		$501.19	$1,513.56	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $467.74 / $954.99	Professional		$275.42	$467.74	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $380.19 / $562.34	Professional		$199.53	$380.19	$562.34