Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $13,803.84	Facility		$691.83	$1,513.56	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $1,445.44	Professional		$331.13	$537.03	$1,445.44
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 $389.05 / $724.44 / $1,479.11	Professional		$389.05	$724.44	$1,479.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $741.31 / $2,884.03	Facility		$426.58	$741.31	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $741.31 / $1,778.28	Professional		$426.58	$741.31	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,047.13	Facility		$707.95	$1,000.00	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $707.95 / $977.24	Facility		$691.83	$707.95	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,288.25	Professional		$512.86	$891.25	$1,288.25
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 $489.78 / $776.25 / $1,230.27	Professional		$489.78	$776.25	$1,230.27
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 $446.68 / $676.08 / $1,288.25	Professional		$446.68	$676.08	$1,288.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $758.58	Professional		$346.74	$537.03	$758.58