Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,230.27 / $17,782.79	Facility		$616.60	$1,230.27	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,071.52	Professional		$302.00	$446.68	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,344.23	Facility		$645.65	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,202.26	Professional		$416.87	$660.69	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $2,951.21	Facility		$524.81	$851.14	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,479.11	Professional		$524.81	$851.14	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $158.49	Professional		$32.36	$33.11	$158.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $870.96 / $933.25	Facility		$630.96	$870.96	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $758.58	Facility		$616.60	$645.65	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,148.15	Professional		$478.63	$812.83	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $10,000.00	Facility		$3,801.89	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $977.24	Professional		$467.74	$676.08	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,202.26	Professional		$426.58	$602.56	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $676.08	Professional		$316.23	$489.78	$676.08