Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $18,620.87	Facility		$707.95	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $933.25	Professional		$309.03	$380.19	$933.25
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 $331.13 / $575.44 / $1,122.02	Professional		$331.13	$575.44	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $707.95 / $1,949.84	Facility		$323.59	$707.95	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $676.08 / $1,513.56	Professional		$323.59	$676.08	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $741.31	Facility		$489.78	$660.69	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $501.19 / $537.03	Facility		$478.63	$501.19	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,071.52	Professional		$501.19	$776.25	$1,071.52
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 $489.78 / $676.08 / $933.25	Professional		$489.78	$676.08	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $933.25	Professional		$363.08	$501.19	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $707.95	Professional		$380.19	$436.52	$707.95