Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,584.89 / $17,782.79	Facility		$691.83	$1,584.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,348.96	Professional		$331.13	$562.34	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,235.94	Facility		$630.96	$758.58	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $741.31 / $1,659.59	Professional		$363.08	$741.31	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $812.83 / $2,041.74	Facility		$398.11	$812.83	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,584.89	Professional		$398.11	$776.25	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,202.26	Facility		$741.31	$1,071.52	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,479.11	Professional		$512.86	$891.25	$1,479.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $8,709.64	Facility		$3,467.37	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,412.54	Professional		$478.63	$812.83	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,623.41 / $10,964.78	Facility		$1,995.26	$5,623.41	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,348.96	Professional		$416.87	$707.95	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $933.25	Professional		$363.08	$660.69	$933.25