Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,762.47 / $20,892.96	Facility		$1,380.38	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,949.84	Professional		$645.65	$831.76	$1,949.84
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 $691.83 / $1,174.90 / $2,187.76	Professional		$691.83	$1,174.90	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,479.11 / $9,549.93	Facility		$758.58	$1,479.11	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,380.38 / $6,309.57	Professional		$741.31	$1,380.38	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $331.13	Professional		$32.36	$33.11	$331.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $1,479.11	Facility		$1,148.15	$1,380.38	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,000.00 / $2,187.76	Facility		$977.24	$1,000.00	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,089.30	Professional		$1,000.00	$1,548.82	$2,089.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,862.09	Professional		$1,000.00	$1,380.38	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,995.26	Professional		$707.95	$1,096.48	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,288.25	Professional		$676.08	$776.25	$1,288.25