Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,754.23 / $17,782.79	Facility		$630.96	$2,754.23	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,047.13	Professional		$302.00	$489.78	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $4,466.84	Facility		$630.96	$758.58	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $1,412.54	Professional		$354.81	$676.08	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $707.95 / $2,884.03	Facility		$389.05	$707.95	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $691.83 / $1,698.24	Professional		$389.05	$691.83	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $977.24	Facility		$660.69	$933.25	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $676.08 / $977.24	Facility		$645.65	$676.08	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,202.26	Professional		$467.74	$812.83	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,148.15	Professional		$446.68	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,202.26	Professional		$398.11	$616.60	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $724.44	Professional		$316.23	$512.86	$724.44