Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,548.13 / $18,620.87	Facility		$562.34	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $831.76	Professional		$234.42	$316.23	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $1,122.02	Facility		$467.74	$501.19	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $457.09 / $977.24	Professional		$257.04	$457.09	$977.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $524.81 / $1,148.15	Facility		$281.84	$524.81	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $831.76	Professional		$281.84	$489.78	$831.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $549.54 / $660.69	Facility		$426.58	$549.54	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $457.09	Facility		$338.84	$338.84	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $954.99	Professional		$426.58	$602.56	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $4,897.79	Facility		$1,778.28	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $758.58	Professional		$346.74	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,090.30 / $5,011.87	Facility		$891.25	$3,090.30	$5,011.87
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $741.31	Professional		$288.40	$407.38	$741.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $588.84	Professional		$309.03	$354.81	$588.84