Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $7,762.47 / $18,620.87	Facility		$489.78	$7,762.47	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $1,047.13	Professional		$245.47	$331.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $776.25	Professional		$316.23	$489.78	$776.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $616.60 / $6,309.57	Facility		$346.74	$616.60	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $575.44 / $1,819.70	Professional		$331.13	$575.44	$1,819.70
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 $426.58 / $512.86 / $524.81	Facility		$426.58	$512.86	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $354.81 / $354.81	Facility		$346.74	$354.81	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $758.58	Professional		$354.81	$588.84	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,754.40 / $10,964.78	Facility		$4,365.16	$5,754.40	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $676.08	Professional		$354.81	$501.19	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,762.47 / $12,589.25	Facility		$1,995.26	$7,762.47	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $741.31	Professional		$263.03	$426.58	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $446.68	Professional		$234.42	$316.23	$446.68