Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,801.89 / $18,620.87	Facility		$660.69	$3,801.89	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $512.86 / $1,202.26	Professional		$323.59	$512.86	$1,202.26
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 $371.54 / $676.08 / $1,380.38	Professional		$371.54	$676.08	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $724.44 / $2,238.72	Facility		$416.87	$724.44	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,445.44	Professional		$416.87	$707.95	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $977.24	Facility		$676.08	$954.99	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $741.31	Facility		$645.65	$660.69	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,202.26	Professional		$501.19	$851.14	$1,202.26
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 $467.74 / $741.31 / $1,148.15	Professional		$467.74	$741.31	$1,148.15
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 $416.87 / $630.96 / $1,202.26	Professional		$416.87	$630.96	$1,202.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $501.19 / $707.95	Professional		$331.13	$501.19	$707.95