Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,548.13 / $18,620.87	Facility		$478.63	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $691.83	Professional		$239.88	$295.12	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $7,762.47	Facility		$501.19	$870.96	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $776.25	Professional		$269.15	$416.87	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $602.56 / $14,125.38	Facility		$331.13	$602.56	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $512.86 / $7,585.78	Professional		$245.47	$512.86	$7,585.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $512.86	Facility		$426.58	$501.19	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $6,165.95	Facility		$346.74	$354.81	$6,165.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $741.31	Professional		$354.81	$549.54	$741.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $30,902.95	Facility		$10,715.19	$16,218.10	$30,902.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $645.65	Professional		$398.11	$501.19	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $17,378.01 / $33,884.42	Facility		$933.25	$17,378.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $380.19 / $660.69	Professional		$251.19	$380.19	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $436.52	Professional		$229.09	$263.03	$436.52