Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,778.28 / $18,620.87	Facility		$977.24	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,380.38	Professional		$436.52	$588.84	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,344.23	Facility		$645.65	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,621.81	Professional		$602.56	$891.25	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,951.21	Facility		$691.83	$1,174.90	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,659.59	Professional		$724.44	$1,148.15	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,174.90	Facility		$794.33	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,513.56	Professional		$707.95	$1,174.90	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $10,000.00	Facility		$3,801.89	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,000.00 / $1,380.38	Professional		$660.69	$1,000.00	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,548.82	Professional		$588.84	$776.25	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96