Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,000.00 / $17,782.79	Facility		$478.63	$1,000.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,348.96	Professional		$257.04	$416.87	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Facility		$380.19	$380.19	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $933.25	Professional		$295.12	$489.78	$933.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $645.65 / $1,288.25	Facility		$213.80	$645.65	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $630.96 / $831.76	Professional		$213.80	$630.96	$831.76
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 $467.74 / $575.44 / $912.01	Facility		$467.74	$575.44	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $398.11	Facility		$389.05	$389.05	$398.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $758.58	Professional		$354.81	$588.84	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $20,892.96	Facility		$7,244.36	$10,964.78	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $776.25	Professional		$398.11	$562.34	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $812.83	Professional		$331.13	$549.54	$812.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $354.81 / $575.44	Professional		$38.90	$354.81	$575.44