Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $10,964.78 / $19,952.62	Facility		$1,023.29	$10,964.78	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $3,801.89 / $11,220.18	Professional		$489.78	$3,801.89	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $2,041.74 / $16,595.87	Professional		$588.84	$2,041.74	$16,595.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $6,606.93 / $15,848.93	Facility		$588.84	$6,606.93	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $6,025.60 / $14,791.08	Professional		$588.84	$6,025.60	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $10,715.19 / $13,803.84	Facility		$8,709.64	$10,715.19	$13,803.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,762.47 / $8,128.31	Facility		$6,456.54	$7,762.47	$8,128.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,698.24 / $14,454.40	Professional		$724.44	$1,698.24	$14,454.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $3,467.37 / $13,182.57	Professional		$691.83	$3,467.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $5,754.40 / $15,135.61	Professional		$645.65	$5,754.40	$15,135.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $851.14 / $8,511.38	Professional		$446.68	$851.14	$8,511.38