Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $17,782.79	Facility		$478.63	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $630.96	Professional		$208.93	$269.15	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,398.83	Facility		$467.74	$562.34	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $794.33	Professional		$234.42	$407.38	$794.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $380.19 / $1,412.54	Facility		$218.78	$380.19	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $891.25	Professional		$218.78	$389.05	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $501.19	Facility		$316.23	$446.68	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $537.03	Facility		$331.13	$346.74	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $707.95	Professional		$338.84	$512.86	$707.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $630.96	Professional		$331.13	$467.74	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $645.65	Professional		$257.04	$354.81	$645.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $316.23 / $478.63	Professional		$251.19	$316.23	$478.63