Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,737.80 / $20,892.96	Facility		$616.60	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $1,023.29	Professional		$316.23	$407.38	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $977.24	Professional		$426.58	$616.60	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $691.83 / $851.14	Facility		$426.58	$691.83	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $870.96	Professional		$426.58	$707.95	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $645.65 / $660.69	Facility		$537.03	$645.65	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $954.99	Professional		$446.68	$758.58	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $851.14	Professional		$457.09	$645.65	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $3,715.35	Facility		$794.33	$794.33	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $954.99	Professional		$346.74	$549.54	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $575.44	Professional		$302.00	$407.38	$575.44