Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,762.47 / $20,892.96	Facility		$1,412.54	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,995.26	Professional		$660.69	$851.14	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $19,952.62	Facility		$707.95	$758.58	$19,952.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,290.87	Professional		$741.31	$1,202.26	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $19,054.61	Facility		$812.83	$1,513.56	$19,054.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,479.11 / $14,791.08	Professional		$794.33	$1,479.11	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,513.56	Facility		$1,202.26	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $5,623.41	Facility		$1,000.00	$1,023.29	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Professional		$1,023.29	$1,584.89	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,905.46	Professional		$1,023.29	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,018.94 / $72,443.60	Facility		$3,467.37	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,041.74	Professional		$741.31	$1,122.02	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,318.26	Professional		$691.83	$794.33	$1,318.26