Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,258.93 / $17,782.79	Facility		$446.68	$1,258.93	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $1,258.93	Professional		$218.78	$446.68	$1,258.93
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 $245.47 / $537.03 / $1,258.93	Professional		$245.47	$537.03	$1,258.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $524.81 / $1,174.90	Facility		$263.03	$524.81	$1,174.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $524.81 / $1,071.52	Professional		$263.03	$524.81	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $138.04	Professional		$32.36	$33.11	$138.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $794.33 / $954.99	Facility		$537.03	$794.33	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $660.69	Facility		$630.96	$630.96	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $660.69 / $1,202.26	Professional		$338.84	$660.69	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,897.79	Facility		$1,995.26	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $1,096.48	Professional		$309.03	$645.65	$1,096.48
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 $275.42 / $537.03 / $1,047.13	Professional		$275.42	$537.03	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $426.58 / $776.25	Professional		$223.87	$426.58	$776.25