Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $18,620.87	Facility		$776.25	$1,949.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $537.03 / $1,288.25	Professional		$389.05	$537.03	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,174.90	Facility		$912.01	$912.01	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,348.96	Professional		$446.68	$691.83	$1,348.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $676.08 / $1,258.93	Facility		$501.19	$676.08	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,174.90	Professional		$501.19	$691.83	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $912.01	Facility		$616.60	$851.14	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $616.60	Facility		$602.56	$602.56	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,202.26	Professional		$562.34	$933.25	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $5,495.41	Facility		$2,187.76	$2,951.21	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,230.27	Professional		$616.60	$870.96	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,467.37 / $6,918.31	Facility		$602.56	$3,467.37	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $1,174.90	Professional		$457.09	$645.65	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $549.54 / $891.25	Professional		$60.26	$549.54	$891.25