Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,570.40 / $19,952.62	Facility		$776.25	$2,570.40	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,258.93	Professional		$346.74	$489.78	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,344.23	Facility		$912.01	$1,412.54	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,412.54	Professional		$489.78	$758.58	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $977.24 / $2,951.21	Facility		$575.44	$977.24	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,659.59	Professional		$575.44	$954.99	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $186.21	Professional		$32.36	$33.11	$186.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $977.24 / $1,096.48	Facility		$691.83	$977.24	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $741.31 / $758.58	Facility		$691.83	$741.31	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,348.96	Professional		$562.34	$954.99	$1,348.96
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 $512.86 / $776.25 / $1,148.15	Professional		$512.86	$776.25	$1,148.15
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 $467.74 / $676.08 / $1,380.38	Professional		$467.74	$676.08	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $851.14	Professional		$389.05	$602.56	$851.14