Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $2,290.87 / $12,302.69	Facility		$436.52	$2,290.87	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $812.83	Professional		$223.87	$354.81	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,819.70	Facility		$467.74	$562.34	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $912.01	Professional		$263.03	$446.68	$912.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $537.03 / $1,122.02	Facility		$288.40	$537.03	$1,122.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $478.63 / $891.25	Professional		$263.03	$478.63	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $707.95	Facility		$446.68	$630.96	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $489.78 / $912.01	Facility		$478.63	$489.78	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $562.34 / $933.25	Professional		$323.59	$562.34	$933.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $6,456.54	Facility		$2,570.40	$3,388.44	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $794.33	Professional		$363.08	$549.54	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,715.35 / $7,079.46	Facility		$933.25	$3,715.35	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $707.95	Professional		$251.19	$398.11	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $416.87 / $588.84	Professional		$234.42	$416.87	$588.84