Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,398.83 / $18,620.87	Facility		$691.83	$2,398.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,318.26	Professional		$346.74	$524.81	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,122.02	Facility		$645.65	$645.65	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,348.96	Professional		$457.09	$724.44	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $794.33 / $1,380.38	Facility		$457.09	$794.33	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $1,258.93	Professional		$478.63	$794.33	$1,258.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $954.99 / $1,047.13	Facility		$676.08	$954.99	$1,047.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $691.83 / $707.95	Facility		$281.84	$691.83	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $891.25 / $1,318.26	Professional		$501.19	$891.25	$1,318.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,951.21	Facility		$1,148.15	$1,548.82	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,096.48	Professional		$562.34	$758.58	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,905.46 / $4,265.80	Facility		$501.19	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,348.96	Professional		$446.68	$660.69	$1,348.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $831.76	Professional		$371.54	$588.84	$831.76