Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $11,481.54 / $21,877.62	Facility		$776.25	$11,481.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $1,202.26	Professional		$363.08	$478.63	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,786.30	Facility		$891.25	$1,071.52	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $645.65 / $1,230.27	Professional		$398.11	$645.65	$1,230.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $4,168.69	Facility		$467.74	$870.96	$4,168.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $758.58 / $2,187.76	Professional		$389.05	$758.58	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $239.88	Professional		$32.36	$33.11	$239.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $758.58 / $831.76	Facility		$616.60	$758.58	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $562.34 / $2,691.53	Facility		$549.54	$562.34	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $1,202.26	Professional		$562.34	$870.96	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $18,620.87	Facility		$7,079.46	$9,772.37	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,047.13	Professional		$602.56	$776.25	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,220.18 / $19,952.62	Facility		$2,137.96	$11,220.18	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,047.13	Professional		$398.11	$562.34	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $758.58	Professional		$398.11	$457.09	$758.58