Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $10,232.93 / $20,892.96	Facility		$1,174.90	$10,232.93	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,698.24	Professional		$588.84	$794.33	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,905.46	Professional		$602.56	$1,047.13	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $10,232.93	Facility		$676.08	$1,348.96	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $6,760.83	Professional		$676.08	$1,288.25	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,318.26	Facility		$1,023.29	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $1,778.28	Facility		$831.76	$851.14	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,819.70	Professional		$851.14	$1,348.96	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,595.87 / $31,622.78	Facility		$12,022.64	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,621.81	Professional		$851.14	$1,174.90	$1,621.81
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 $660.69 / $954.99 / $1,737.80	Professional		$660.69	$954.99	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15