Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,290.87 / $17,782.79	Facility		$812.83	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,288.25	Professional		$398.11	$562.34	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Facility		$478.63	$478.63	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,412.54	Professional		$446.68	$724.44	$1,412.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,230.27	Facility		$354.81	$645.65	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,174.90	Professional		$354.81	$645.65	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $891.25 / $954.99	Facility		$645.65	$891.25	$954.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $630.96 / $645.65	Facility		$275.42	$630.96	$645.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,258.93	Professional		$588.84	$977.24	$1,258.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,162.28	Facility		$1,202.26	$1,659.59	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,288.25	Professional		$645.65	$912.01	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,905.46 / $4,365.16	Facility		$398.11	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $676.08 / $1,230.27	Professional		$478.63	$676.08	$1,230.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $575.44 / $933.25	Professional		$63.10	$575.44	$933.25