Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,128.31 / $20,892.96	Facility		$1,122.02	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,513.56	Professional		$512.86	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $8,317.64	Facility		$891.25	$1,071.52	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,778.28	Professional		$549.54	$954.99	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,202.26 / $7,079.46	Facility		$549.54	$1,202.26	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,122.02 / $5,248.07	Professional		$549.54	$1,122.02	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $269.15	Professional		$32.36	$33.11	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $1,778.28	Facility		$776.25	$812.83	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,698.24	Professional		$812.83	$1,258.93	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,513.56	Professional		$794.33	$1,122.02	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $33,884.42	Facility		$3,467.37	$17,782.79	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $831.76 / $1,584.89	Professional		$549.54	$831.76	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $630.96 / $1,047.13	Professional		$77.62	$630.96	$1,047.13