Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,413.10 / $20,892.96	Facility		$891.25	$7,413.10	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $2,187.76	Professional		$426.58	$602.56	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $2,818.38	Facility		$707.95	$758.58	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,445.44	Professional		$446.68	$776.25	$1,445.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $933.25 / $2,951.21	Facility		$537.03	$933.25	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $2,137.96	Professional		$537.03	$891.25	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $213.80	Professional		$32.36	$33.11	$213.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $954.99	Facility		$758.58	$912.01	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $645.65 / $741.31	Facility		$616.60	$645.65	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,348.96	Professional		$645.65	$1,023.29	$1,348.96
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 $630.96 / $912.01 / $1,202.26	Professional		$630.96	$912.01	$1,202.26
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 $478.63 / $758.58 / $1,318.26	Professional		$478.63	$758.58	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $831.76	Professional		$436.52	$501.19	$831.76