Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,778.28 / $18,620.87	Facility		$630.96	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,174.90	Professional		$302.00	$512.86	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,862.09	Facility		$707.95	$870.96	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $676.08 / $1,445.44	Professional		$346.74	$676.08	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $676.08 / $1,348.96	Facility		$354.81	$676.08	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,258.93	Professional		$354.81	$676.08	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,023.29	Facility		$660.69	$933.25	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $707.95	Facility		$691.83	$691.83	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $1,288.25	Professional		$467.74	$831.76	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,317.64	Facility		$2,884.03	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,202.26	Professional		$446.68	$724.44	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $8,912.51	Facility		$1,122.02	$5,370.32	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,230.27	Professional		$380.19	$616.60	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $575.44 / $812.83	Professional		$323.59	$575.44	$812.83