Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $18,620.87	Facility		$1,148.15	$2,570.40	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,737.80	Professional		$489.78	$691.83	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,698.24	Facility		$707.95	$870.96	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,023.29 / $2,187.76	Professional		$512.86	$1,023.29	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,819.70	Facility		$524.81	$891.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $912.01 / $1,698.24	Professional		$524.81	$912.01	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,513.56	Facility		$794.33	$1,230.27	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Facility		$933.25	$933.25	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,819.70	Professional		$831.76	$1,348.96	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,621.81	Professional		$776.25	$1,202.26	$1,621.81
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 $549.54 / $851.14 / $1,621.81	Professional		$549.54	$851.14	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,174.90	Professional		$630.96	$851.14	$1,174.90