Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,513.56 / $17,782.79	Facility		$323.59	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $371.54 / $870.96	Professional		$162.18	$371.54	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Facility		$446.68	$446.68	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $1,071.52	Professional		$257.04	$489.78	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $501.19 / $1,047.13	Facility		$257.04	$501.19	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $933.25	Professional		$263.03	$457.09	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $758.58	Facility		$512.86	$707.95	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $501.19 / $1,000.00	Professional		$223.87	$501.19	$1,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,715.35	Facility		$1,412.54	$1,949.84	$3,715.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $457.09 / $954.99	Professional		$251.19	$457.09	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,570.40 / $4,786.30	Facility		$933.25	$2,570.40	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $457.09 / $1,000.00	Professional		$213.80	$457.09	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $281.84 / $537.03	Professional		$147.91	$281.84	$537.03