Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,762.47 / $20,892.96	Facility		$1,122.02	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,905.46	Professional		$501.19	$676.08	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $3,715.35	Facility		$707.95	$758.58	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,778.28	Professional		$562.34	$954.99	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,202.26 / $4,265.80	Facility		$616.60	$1,202.26	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,148.15 / $2,818.38	Professional		$562.34	$1,148.15	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,174.90	Facility		$870.96	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $977.24	Facility		$776.25	$812.83	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $1,698.24	Professional		$812.83	$1,258.93	$1,698.24
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 $794.33 / $1,122.02 / $1,513.56	Professional		$794.33	$1,122.02	$1,513.56
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 $575.44 / $851.14 / $1,584.89	Professional		$575.44	$851.14	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,023.29	Professional		$537.03	$630.96	$1,023.29