Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $7,762.47 / $20,892.96	Facility		$1,148.15	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,548.82	Professional		$537.03	$691.83	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,818.38	Facility		$707.95	$870.96	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,862.09	Professional		$575.44	$954.99	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,230.27 / $2,951.21	Facility		$630.96	$1,230.27	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,174.90 / $1,995.26	Professional		$575.44	$1,174.90	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,230.27	Facility		$870.96	$1,122.02	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $831.76	Facility		$812.83	$812.83	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $1,778.28	Professional		$831.76	$1,288.25	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,548.82	Professional		$831.76	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,918.31 / $11,748.98	Facility		$1,122.02	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,621.81	Professional		$602.56	$870.96	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,096.48	Professional		$575.44	$660.69	$1,096.48