Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,584.89 / $17,782.79	Facility		$794.33	$1,584.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $588.84 / $1,380.38	Professional		$363.08	$588.84	$1,380.38
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 $524.81 / $831.76 / $1,548.82	Professional		$524.81	$831.76	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $912.01 / $1,548.82	Facility		$501.19	$912.01	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $912.01 / $1,479.11	Professional		$501.19	$912.01	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,230.27	Facility		$676.08	$1,047.13	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $831.76 / $831.76	Facility		$229.09	$831.76	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,023.29 / $1,513.56	Professional		$575.44	$1,023.29	$1,513.56
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 $575.44 / $851.14 / $1,288.25	Professional		$575.44	$851.14	$1,288.25
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 $512.86 / $776.25 / $1,548.82	Professional		$512.86	$776.25	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $933.25	Professional		$380.19	$660.69	$933.25