Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,047.13 / $17,782.79	Facility		$478.63	$1,047.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $338.84 / $707.95	Professional		$218.78	$338.84	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,862.09	Facility		$467.74	$562.34	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $870.96	Professional		$269.15	$457.09	$870.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $549.54 / $1,380.38	Facility		$316.23	$549.54	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $891.25	Professional		$275.42	$501.19	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $660.69 / $724.44	Facility		$489.78	$660.69	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $954.99	Facility		$446.68	$446.68	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $870.96	Professional		$316.23	$537.03	$870.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $8,317.64	Facility		$3,311.31	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $741.31	Professional		$346.74	$524.81	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,897.79 / $8,709.64	Facility		$933.25	$4,897.79	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $691.83	Professional		$251.19	$416.87	$691.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $346.74 / $489.78	Professional		$208.93	$346.74	$489.78