Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,290.87 / $18,620.87	Facility		$1,047.13	$2,290.87	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,778.28	Professional		$549.54	$741.31	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $3,981.07	Facility		$891.25	$1,071.52	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,949.84	Professional		$602.56	$1,047.13	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,174.90 / $2,754.23	Facility		$724.44	$1,174.90	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,174.90 / $1,995.26	Professional		$724.44	$1,174.90	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,584.89	Facility		$1,071.52	$1,288.25	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $891.25	Facility		$870.96	$870.96	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $1,621.81	Professional		$776.25	$1,230.27	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,332.54 / $17,378.01	Facility		$6,918.31	$9,332.54	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $1,584.89	Professional		$741.31	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $19,054.61	Facility		$1,995.26	$10,471.29	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,659.59	Professional		$660.69	$954.99	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $707.95 / $1,000.00	Professional		$524.81	$707.95	$1,000.00