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 $380.19 / $512.86 / $1,202.26	Professional		$380.19	$512.86	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,288.25	Professional		$398.11	$707.95	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $3,890.45	Facility		$467.74	$870.96	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $831.76 / $2,818.38	Professional		$467.74	$831.76	$2,818.38
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 $676.08 / $831.76 / $933.25	Facility		$676.08	$831.76	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $977.24	Facility		$562.34	$562.34	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,230.27	Professional		$562.34	$870.96	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,148.15	Professional		$575.44	$794.33	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,230.27	Professional		$467.74	$691.83	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $724.44	Professional		$380.19	$436.52	$724.44