Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,818.38 / $17,782.79	Facility		$602.56	$2,818.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $977.24	Professional		$288.40	$467.74	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,398.83	Facility		$630.96	$758.58	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $1,318.26	Professional		$331.13	$630.96	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $660.69 / $1,548.82	Facility		$363.08	$660.69	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,202.26	Professional		$363.08	$645.65	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $933.25	Facility		$616.60	$891.25	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $630.96	Facility		$616.60	$616.60	$630.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,148.15	Professional		$436.52	$758.58	$1,148.15
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 $416.87 / $660.69 / $1,096.48	Professional		$416.87	$660.69	$1,096.48
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 $371.54 / $588.84 / $1,148.15	Professional		$371.54	$588.84	$1,148.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $691.83	Professional		$302.00	$489.78	$691.83