Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $6,456.54	Facility		$1,047.13	$1,949.84	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $758.58	Professional		$489.78	$588.84	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,949.84	Professional		$676.08	$1,202.26	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,318.26	Facility		$457.09	$707.95	$1,318.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,174.90	Professional		$436.52	$676.08	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $724.44	Professional		$44.67	$50.12	$724.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $512.86 / $537.03	Facility		$436.52	$512.86	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $851.14	Facility		$758.58	$758.58	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,778.28	Professional		$851.14	$1,230.27	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,884.03	Facility		$1,122.02	$1,513.56	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,513.56	Professional		$724.44	$1,122.02	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,511.89	Facility		$1,047.13	$1,412.54	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,584.89	Professional		$602.56	$870.96	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,023.29	Professional		$537.03	$630.96	$1,023.29