Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,388.44 / $18,620.87	Facility		$645.65	$3,388.44	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $1,348.96	Professional		$295.12	$501.19	$1,348.96
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 $363.08 / $676.08 / $1,380.38	Professional		$363.08	$676.08	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $707.95 / $2,884.03	Facility		$407.38	$707.95	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,698.24	Professional		$407.38	$707.95	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $954.99 / $977.24	Facility		$660.69	$954.99	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $660.69 / $977.24	Facility		$645.65	$660.69	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $831.76 / $1,202.26	Professional		$478.63	$831.76	$1,202.26
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 $457.09 / $724.44 / $1,148.15	Professional		$457.09	$724.44	$1,148.15
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 $416.87 / $630.96 / $1,230.27	Professional		$416.87	$630.96	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $707.95	Professional		$323.59	$501.19	$707.95