Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,047.13 / $17,782.79	Facility		$416.87	$1,047.13	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $398.11 / $812.83	Professional		$204.17	$398.11	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,380.38	Facility		$467.74	$562.34	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,047.13	Professional		$251.19	$478.63	$1,047.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $1,148.15	Facility		$295.12	$588.84	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $512.86 / $1,023.29	Professional		$257.04	$512.86	$1,023.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $831.76	Facility		$524.81	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $933.25	Facility		$549.54	$562.34	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,023.29	Professional		$288.40	$549.54	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,897.79	Facility		$1,905.46	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $891.25	Professional		$331.13	$562.34	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,235.94 / $6,456.54	Facility		$933.25	$3,235.94	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $812.83	Professional		$239.88	$436.52	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $354.81 / $660.69	Professional		$186.21	$354.81	$660.69