Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $17,782.79	Facility		$1,047.13	$1,548.82	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,445.44	Professional		$501.19	$630.96	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $2,398.83	Facility		$467.74	$562.34	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,778.28	Professional		$537.03	$933.25	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $912.01 / $1,584.89	Facility		$537.03	$912.01	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $1,548.82	Professional		$537.03	$933.25	$1,548.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,202.26	Facility		$776.25	$1,096.48	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $812.83	Facility		$776.25	$776.25	$812.83
Premera BCBS 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
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,570.88 / $8,709.64	Facility		$2,951.21	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,445.44	Professional		$758.58	$1,071.52	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $5,495.41 / $9,120.11	Facility		$416.87	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,548.82	Professional		$616.60	$831.76	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,023.29	Professional		$537.03	$724.44	$1,023.29