Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $18,620.87	Facility		$549.54	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $891.25	Professional		$269.15	$416.87	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $562.34 / $1,202.26	Professional		$302.00	$562.34	$1,202.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $602.56 / $2,884.03	Facility		$338.84	$602.56	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $1,659.59	Professional		$338.84	$602.56	$1,659.59
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 $575.44 / $812.83 / $851.14	Facility		$575.44	$812.83	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $977.24	Facility		$562.34	$575.44	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $691.83 / $1,047.13	Professional		$398.11	$691.83	$1,047.13
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 $380.19 / $602.56 / $1,000.00	Professional		$380.19	$602.56	$1,000.00
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 $346.74 / $537.03 / $1,023.29	Professional		$346.74	$537.03	$1,023.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $426.58 / $602.56	Professional		$269.15	$426.58	$602.56