Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $17,782.79	Facility		$741.31	$1,513.56	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,230.27	Professional		$380.19	$537.03	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,884.03	Facility		$645.65	$645.65	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,318.26	Professional		$436.52	$676.08	$1,318.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $2,630.27	Facility		$489.78	$933.25	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $912.01 / $1,513.56	Professional		$489.78	$912.01	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
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 / $616.60 / $660.69	Facility		$602.56	$616.60	$660.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,174.90	Professional		$549.54	$912.01	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,258.93	Professional		$602.56	$870.96	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,918.31 / $13,182.57	Facility		$602.56	$6,918.31	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,174.90	Professional		$457.09	$630.96	$1,174.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $537.03 / $891.25	Professional		$120.23	$537.03	$891.25