Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,388.44 / $18,620.87	Facility		$602.56	$3,388.44	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $426.58 / $1,000.00	Professional		$257.04	$426.58	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $707.95 / $954.99	Facility		$416.87	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $512.86 / $1,096.48	Professional		$295.12	$512.86	$1,096.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $588.84 / $1,230.27	Facility		$331.13	$588.84	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $549.54 / $954.99	Professional		$302.00	$549.54	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $173.78	Professional		$32.36	$33.11	$173.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $741.31 / $870.96	Facility		$524.81	$741.31	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $588.84 / $602.56	Facility		$436.52	$588.84	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $660.69 / $1,096.48	Professional		$371.54	$660.69	$1,096.48
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 $416.87 / $645.65 / $933.25	Professional		$416.87	$645.65	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $851.14	Professional		$281.84	$457.09	$851.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $446.68 / $616.60	Professional		$245.47	$446.68	$616.60