Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,548.13 / $18,620.87	Facility		$676.08	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,047.13	Professional		$323.59	$426.58	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $562.34	Facility		$467.74	$501.19	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $575.44 / $1,071.52	Professional		$363.08	$575.44	$1,071.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $524.81 / $891.25	Facility		$363.08	$524.81	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $891.25	Professional		$380.19	$562.34	$891.25
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 $588.84 / $691.83 / $724.44	Facility		$588.84	$691.83	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,023.29	Professional		$489.78	$758.58	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $7,244.36	Facility		$5,754.40	$5,754.40	$7,244.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $912.01	Professional		$489.78	$676.08	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $549.54 / $5,754.40	Facility		$158.49	$549.54	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,000.00	Professional		$371.54	$549.54	$1,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $588.84	Professional		$309.03	$354.81	$588.84