Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,513.56 / $17,782.79	Facility		$794.33	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $1,071.52	Professional		$331.13	$457.09	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $630.96 / $758.58	Facility		$302.00	$630.96	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $1,348.96	Professional		$363.08	$691.83	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $524.81 / $1,047.13	Facility		$275.42	$524.81	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $524.81 / $1,047.13	Professional		$295.12	$524.81	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $776.25 / $933.25	Facility		$549.54	$776.25	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $524.81 / $645.65	Facility		$234.42	$524.81	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,230.27	Professional		$575.44	$891.25	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $691.83 / $1,318.26	Facility		$512.86	$691.83	$1,318.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,096.48	Professional		$478.63	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $912.01 / $1,949.84	Facility		$416.87	$912.01	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $562.34 / $1,096.48	Professional		$407.38	$562.34	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $776.25	Professional		$407.38	$549.54	$776.25