Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,513.56 / $17,782.79	Facility		$691.83	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,318.26	Professional		$354.81	$537.03	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $3,311.31	Facility		$562.34	$912.01	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,318.26	Professional		$457.09	$707.95	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $891.25 / $3,801.89	Facility		$537.03	$891.25	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,819.70	Professional		$537.03	$870.96	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $162.18	Professional		$32.36	$33.11	$162.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $933.25 / $1,023.29	Facility		$676.08	$933.25	$1,023.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $891.25	Facility		$676.08	$691.83	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $870.96 / $1,258.93	Professional		$489.78	$870.96	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,071.52	Professional		$562.34	$741.31	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $10,232.93 / $19,054.61	Facility		$1,047.13	$10,232.93	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,318.26	Professional		$446.68	$660.69	$1,318.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $537.03 / $758.58	Professional		$331.13	$537.03	$758.58