Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,025.60 / $18,620.87	Facility		$851.14	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $1,230.27	Professional		$416.87	$512.86	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $870.96 / $4,466.84	Facility		$501.19	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $724.44 / $1,348.96	Professional		$467.74	$724.44	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $954.99 / $3,801.89	Facility		$512.86	$954.99	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,995.26	Professional		$436.52	$831.76	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $204.17	Professional		$32.36	$33.11	$204.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $912.01	Facility		$707.95	$870.96	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $630.96 / $2,344.23	Facility		$616.60	$630.96	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $977.24 / $1,348.96	Professional		$630.96	$977.24	$1,348.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,174.90	Professional		$691.83	$891.25	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $9,772.37 / $17,782.79	Facility		$2,137.96	$9,772.37	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,174.90	Professional		$436.52	$645.65	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $812.83	Professional		$426.58	$489.78	$812.83