Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,548.13 / $18,620.87	Facility		$954.99	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,288.25	Professional		$436.52	$562.34	$1,288.25
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 $467.74 / $812.83 / $1,548.82	Professional		$467.74	$812.83	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,000.00 / $2,290.87	Facility		$512.86	$1,000.00	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $954.99 / $1,548.82	Professional		$457.09	$954.99	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $229.09	Professional		$32.36	$33.11	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $933.25 / $1,023.29	Facility		$707.95	$933.25	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,445.44	Professional		$691.83	$1,071.52	$1,445.44
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 $676.08 / $954.99 / $1,288.25	Professional		$676.08	$954.99	$1,288.25
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 $478.63 / $707.95 / $1,318.26	Professional		$478.63	$707.95	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $933.25	Professional		$489.78	$562.34	$933.25