Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $6,025.60 / $18,620.87	Facility		$977.24	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,380.38	Professional		$407.38	$537.03	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $4,466.84	Facility		$630.96	$676.08	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,584.89	Professional		$457.09	$794.33	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $4,265.80	Facility		$489.78	$1,000.00	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $912.01 / $2,818.38	Professional		$436.52	$912.01	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $912.01 / $1,047.13	Facility		$676.08	$912.01	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $977.24	Facility		$691.83	$707.95	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,479.11	Professional		$707.95	$1,096.48	$1,479.11
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 $707.95 / $977.24 / $1,318.26	Professional		$707.95	$977.24	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,549.93 / $18,620.87	Facility		$1,122.02	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,348.96	Professional		$501.19	$707.95	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $954.99	Professional		$501.19	$575.44	$954.99