Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $17,782.79	Facility		$831.76	$1,584.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $1,479.11	Professional		$416.87	$660.69	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,454.71	Facility		$645.65	$645.65	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,584.89	Professional		$501.19	$831.76	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,290.87	Facility		$562.34	$1,071.52	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,621.81	Professional		$575.44	$1,047.13	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,202.26	Facility		$831.76	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $812.83	Facility		$794.33	$794.33	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,513.56	Professional		$616.60	$1,071.52	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $12,589.25	Facility		$4,365.16	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,479.11	Professional		$549.54	$794.33	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $707.95 / $1,174.90	Professional		$79.43	$707.95	$1,174.90