Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $7,943.28 / $20,892.96	Facility		$1,348.96	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,778.28	Professional		$549.54	$758.58	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $15,135.61	Facility		$1,000.00	$1,230.27	$15,135.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $2,137.96	Professional		$575.44	$1,071.52	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $11,220.18	Facility		$630.96	$1,318.26	$11,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $8,912.51	Professional		$630.96	$1,230.27	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,445.44	Facility		$977.24	$1,202.26	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,000.00 / $2,818.38	Facility		$812.83	$1,000.00	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,089.30	Professional		$1,000.00	$1,445.44	$2,089.30
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 $831.76 / $1,230.27 / $1,698.24	Professional		$831.76	$1,230.27	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,698.24	Professional		$676.08	$933.25	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,288.25	Professional		$676.08	$776.25	$1,288.25