Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,548.13 / $18,620.87	Facility		$426.58	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $616.60	Professional		$223.87	$269.15	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $1,380.38	Facility		$501.19	$870.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $691.83	Professional		$239.88	$389.05	$691.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $524.81 / $2,238.72	Facility		$288.40	$524.81	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $457.09 / $831.76	Professional		$218.78	$457.09	$831.76
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 $371.54 / $446.68 / $457.09	Facility		$371.54	$446.68	$457.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $707.95	Facility		$309.03	$309.03	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $660.69	Professional		$309.03	$478.63	$660.69
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 $354.81 / $436.52 / $575.44	Professional		$354.81	$436.52	$575.44
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 $229.09 / $346.74 / $588.84	Professional		$229.09	$346.74	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $389.05	Professional		$204.17	$234.42	$389.05