Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $6,025.60 / $18,620.87	Facility		$812.83	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,230.27	Professional		$380.19	$501.19	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $2,630.27	Facility		$630.96	$758.58	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,288.25	Professional		$426.58	$691.83	$1,288.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $891.25 / $2,454.71	Facility		$457.09	$891.25	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $1,621.81	Professional		$446.68	$851.14	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $190.55	Professional		$32.36	$33.11	$190.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $870.96	Facility		$676.08	$831.76	$870.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $588.84 / $602.56	Facility		$575.44	$588.84	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,230.27	Professional		$588.84	$912.01	$1,230.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,096.48	Professional		$588.84	$831.76	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,760.83 / $11,220.18	Facility		$1,122.02	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,174.90	Professional		$436.52	$645.65	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $812.83	Professional		$436.52	$501.19	$812.83