Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $17,782.79	Facility		$588.84	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $1,023.29	Professional		$309.03	$426.58	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,311.31	Facility		$1,995.26	$1,995.26	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,122.02	Professional		$457.09	$707.95	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $3,801.89	Facility		$436.52	$794.33	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,513.56	Professional		$446.68	$758.58	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $776.25 / $812.83	Facility		$562.34	$776.25	$812.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $549.54 / $549.54	Facility		$537.03	$549.54	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,047.13	Professional		$426.58	$758.58	$1,047.13
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 $478.63 / $660.69 / $954.99	Professional		$478.63	$660.69	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,481.54 / $19,952.62	Facility		$1,995.26	$11,481.54	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,071.52	Professional		$389.05	$562.34	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $588.84	Professional		$281.84	$416.87	$588.84