Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,548.13 / $18,620.87	Facility		$398.11	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $575.44	Professional		$190.55	$229.09	$575.44
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 $213.80 / $354.81 / $630.96	Professional		$213.80	$354.81	$630.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $1,202.26	Facility		$234.42	$446.68	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $707.95	Professional		$199.53	$398.11	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $389.05 / $426.58	Facility		$288.40	$389.05	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $295.12 / $707.95	Facility		$288.40	$295.12	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $630.96	Professional		$295.12	$457.09	$630.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,897.79	Facility		$1,737.80	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $407.38 / $537.03	Professional		$316.23	$407.38	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $5,248.07	Facility		$602.56	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $537.03	Professional		$194.98	$288.40	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $398.11	Professional		$208.93	$245.47	$398.11