Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,548.13 / $18,620.87	Facility		$707.95	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $933.25	Professional		$331.13	$398.11	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $4,677.35	Facility		$467.74	$562.34	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $588.84 / $1,122.02	Professional		$302.00	$588.84	$1,122.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $776.25 / $4,570.88	Facility		$389.05	$776.25	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $2,398.83	Professional		$346.74	$691.83	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $707.95 / $758.58	Facility		$537.03	$707.95	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $512.86 / $2,754.23	Facility		$501.19	$512.86	$2,754.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $1,096.48	Professional		$512.86	$794.33	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $933.25	Professional		$549.54	$707.95	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,964.78 / $19,952.62	Facility		$2,137.96	$10,964.78	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $933.25	Professional		$346.74	$501.19	$933.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $707.95	Professional		$371.54	$426.58	$707.95