Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $7,762.47 / $20,892.96	Facility		$1,318.26	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $2,041.74	Professional		$616.60	$812.83	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $2,089.30	Professional		$676.08	$1,122.02	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $8,128.31	Facility		$724.44	$1,412.54	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,348.96 / $6,309.57	Professional		$724.44	$1,348.96	$6,309.57
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 $1,047.13 / $1,318.26 / $1,412.54	Facility		$1,047.13	$1,318.26	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $954.99	Facility		$933.25	$933.25	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $1,995.26	Professional		$954.99	$1,479.11	$1,995.26
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 $954.99 / $1,318.26 / $1,778.28	Professional		$954.99	$1,318.26	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $21,379.62 / $41,686.94	Facility		$1,995.26	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,047.13 / $1,862.09	Professional		$691.83	$1,047.13	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $1,230.27	Professional		$645.65	$741.31	$1,230.27