Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $18,620.87	Facility		$537.03	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $870.96	Professional		$269.15	$354.81	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $501.19 / $954.99	Professional		$288.40	$501.19	$954.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $1,513.56	Facility		$316.23	$524.81	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $1,000.00	Professional		$316.23	$524.81	$1,000.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $151.36	Professional		$32.36	$33.11	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $616.60 / $645.65	Facility		$467.74	$616.60	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $436.52 / $537.03	Facility		$416.87	$436.52	$537.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $831.76	Professional		$407.38	$630.96	$831.76
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 $380.19 / $562.34 / $758.58	Professional		$380.19	$562.34	$758.58
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 $323.59 / $457.09 / $812.83	Professional		$323.59	$457.09	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $512.86	Professional		$269.15	$363.08	$512.86