Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $7,762.47 / $20,892.96	Facility		$794.33	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $1,047.13	Professional		$354.81	$467.74	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,398.83	Facility		$707.95	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $1,258.93	Professional		$398.11	$676.08	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $831.76 / $2,041.74	Facility		$389.05	$831.76	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $812.83 / $1,513.56	Professional		$389.05	$812.83	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $831.76	Facility		$575.44	$776.25	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $575.44	Facility		$549.54	$549.54	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,202.26	Professional		$575.44	$891.25	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $8,709.64	Facility		$3,467.37	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,047.13	Professional		$562.34	$794.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,623.41 / $10,964.78	Facility		$1,995.26	$5,623.41	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,096.48	Professional		$398.11	$588.84	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $776.25	Professional		$407.38	$467.74	$776.25