Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,025.60 / $18,620.87	Facility		$1,174.90	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,621.81	Professional		$549.54	$691.83	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,905.46	Professional		$588.84	$1,023.29	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $4,265.80	Facility		$660.69	$1,288.25	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,230.27 / $2,818.38	Professional		$602.56	$1,230.27	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $281.84	Professional		$32.36	$33.11	$281.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,258.93	Facility		$977.24	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $977.24	Facility		$831.76	$851.14	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,819.70	Professional		$851.14	$1,318.26	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,584.89	Professional		$851.14	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,698.24	Professional		$616.60	$912.01	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,122.02	Professional		$588.84	$691.83	$1,122.02