Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,445.44 / $17,782.79	Facility		$676.08	$1,445.44	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,071.52	Professional		$346.74	$537.03	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $3,981.07	Facility		$467.74	$562.34	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $676.08 / $1,412.54	Professional		$389.05	$676.08	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $812.83 / $2,818.38	Facility		$457.09	$812.83	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $1,445.44	Professional		$398.11	$724.44	$1,445.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $234.42	Professional		$32.36	$33.11	$234.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $933.25 / $1,096.48	Facility		$660.69	$933.25	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $1,862.09	Facility		$741.31	$758.58	$1,862.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $870.96 / $1,412.54	Professional		$501.19	$870.96	$1,412.54
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 $562.34 / $851.14 / $1,202.26	Professional		$562.34	$851.14	$1,202.26
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 $380.19 / $602.56 / $1,096.48	Professional		$380.19	$602.56	$1,096.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $776.25	Professional		$323.59	$549.54	$776.25