Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $17,782.79	Facility		$588.84	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $977.24	Professional		$275.42	$446.68	$977.24
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 $316.23 / $602.56 / $1,258.93	Professional		$316.23	$602.56	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $2,884.03	Facility		$346.74	$630.96	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,659.59	Professional		$346.74	$630.96	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $870.96 / $891.25	Facility		$602.56	$870.96	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $977.24	Facility		$602.56	$602.56	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,096.48	Professional		$426.58	$724.44	$1,096.48
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 $398.11 / $645.65 / $1,047.13	Professional		$398.11	$645.65	$1,047.13
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 $363.08 / $562.34 / $1,096.48	Professional		$363.08	$562.34	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $645.65	Professional		$281.84	$457.09	$645.65