Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,174.90 / $16,982.44	Facility		$489.78	$1,174.90	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,479.11	Professional		$331.13	$524.81	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,388.44	Facility		$630.96	$758.58	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $1,412.54	Professional		$407.38	$691.83	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $2,238.72	Facility		$436.52	$741.31	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,445.44	Professional		$436.52	$724.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,000.00	Facility		$691.83	$933.25	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $741.31	Facility		$676.08	$691.83	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,230.27	Professional		$512.86	$891.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Professional		$501.19	$776.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,230.27	Professional		$426.58	$676.08	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $776.25	Professional		$354.81	$549.54	$776.25