Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $17,782.79	Facility		$660.69	$1,380.38	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,047.13	Professional		$338.84	$512.86	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $3,981.07	Facility		$630.96	$758.58	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $660.69 / $1,380.38	Professional		$380.19	$660.69	$1,380.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $794.33 / $2,818.38	Facility		$436.52	$794.33	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $1,412.54	Professional		$389.05	$707.95	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $912.01 / $1,071.52	Facility		$645.65	$912.01	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $1,862.09	Facility		$724.44	$741.31	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,380.38	Professional		$478.63	$851.14	$1,380.38
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 $549.54 / $831.76 / $1,174.90	Professional		$549.54	$831.76	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $9,549.93 / $18,620.87	Facility		$933.25	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,071.52	Professional		$371.54	$588.84	$1,071.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $537.03 / $758.58	Professional		$316.23	$537.03	$758.58