Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,513.56 / $17,782.79	Facility		$870.96	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,258.93	Professional		$416.87	$512.86	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,398.83	Facility		$630.96	$758.58	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,548.82	Professional		$436.52	$776.25	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $776.25 / $1,548.82	Facility		$446.68	$776.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,348.96	Professional		$446.68	$794.33	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $912.01 / $1,023.29	Facility		$660.69	$912.01	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $707.95	Facility		$676.08	$676.08	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,348.96	Professional		$630.96	$1,023.29	$1,348.96
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 $616.60 / $912.01 / $1,202.26	Professional		$616.60	$912.01	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,897.79 / $9,120.11	Facility		$891.25	$4,897.79	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,288.25	Professional		$501.19	$676.08	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96