Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,762.47 / $20,892.96	Facility		$1,174.90	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,819.70	Professional		$549.54	$724.44	$1,819.70
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 $602.56 / $1,023.29 / $1,905.46	Professional		$602.56	$1,023.29	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,258.93 / $3,890.45	Facility		$645.65	$1,258.93	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,230.27 / $2,818.38	Professional		$645.65	$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 $954.99 / $1,174.90 / $1,258.93	Facility		$954.99	$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 $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$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 $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,698.24	Professional		$602.56	$933.25	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,122.02	Professional		$588.84	$676.08	$1,122.02