Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $7,943.28 / $20,892.96	Facility		$870.96	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,318.26	Professional		$416.87	$512.86	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,412.54	Professional		$436.52	$741.31	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $4,265.80	Facility		$478.63	$933.25	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $891.25 / $2,818.38	Professional		$457.09	$891.25	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $851.14 / $933.25	Facility		$724.44	$851.14	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $630.96 / $977.24	Facility		$602.56	$630.96	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,318.26	Professional		$630.96	$977.24	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,174.90	Professional		$616.60	$870.96	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,230.27	Professional		$457.09	$676.08	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $812.83	Professional		$426.58	$501.19	$812.83