Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,659.59 / $20,892.96	Facility		$812.83	$1,659.59	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,288.25	Professional		$436.52	$630.96	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $6,918.31	Facility		$630.96	$676.08	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,621.81	Professional		$501.19	$851.14	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $933.25 / $5,248.07	Facility		$575.44	$933.25	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $3,090.30	Professional		$575.44	$912.01	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,202.26	Facility		$851.14	$1,071.52	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $1,778.28	Facility		$724.44	$741.31	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,380.38	Professional		$616.60	$1,000.00	$1,380.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $912.01 / $1,288.25	Professional		$575.44	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $33,884.42	Facility		$1,995.26	$17,378.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $776.25 / $1,380.38	Professional		$537.03	$776.25	$1,380.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $831.76	Professional		$416.87	$588.84	$831.76