Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $7,079.46 / $14,791.08	Facility		$602.56	$7,079.46	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $1,479.11	Professional		$302.00	$489.78	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,981.07	Facility		$707.95	$912.01	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,258.93	Professional		$346.74	$602.56	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $741.31 / $2,511.89	Facility		$389.05	$741.31	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,288.25	Professional		$363.08	$660.69	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $208.93	Professional		$32.36	$33.11	$208.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $954.99	Facility		$616.60	$891.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,995.26	Facility		$660.69	$660.69	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $1,258.93	Professional		$446.68	$776.25	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $758.58 / $1,071.52	Professional		$512.86	$758.58	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,709.64 / $15,488.17	Facility		$1,548.82	$8,709.64	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $549.54 / $977.24	Professional		$346.74	$549.54	$977.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $776.25	Professional		$323.59	$549.54	$776.25