Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $3,548.13 / $18,620.87	Facility		$776.25	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $501.19 / $1,288.25	Professional		$389.05	$501.19	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Facility		$1,698.24	$1,698.24	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,230.27	Professional		$512.86	$776.25	$1,230.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $977.24 / $7,762.47	Facility		$537.03	$977.24	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $2,238.72	Professional		$524.81	$912.01	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $831.76	Facility		$676.08	$794.33	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $562.34 / $562.34	Facility		$537.03	$562.34	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,202.26	Professional		$562.34	$933.25	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,071.52	Professional		$549.54	$794.33	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $10,000.00 / $17,378.01	Facility		$1,698.24	$10,000.00	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $660.69 / $1,174.90	Professional		$407.38	$660.69	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $724.44	Professional		$380.19	$512.86	$724.44