Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,943.28 / $20,892.96	Facility		$1,174.90	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $1,621.81	Professional		$537.03	$676.08	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $14,454.40	Facility		$707.95	$870.96	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $1,905.46	Professional		$575.44	$1,000.00	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,258.93 / $13,803.84	Facility		$616.60	$1,258.93	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $9,120.11	Professional		$588.84	$1,174.90	$9,120.11
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 $891.25 / $1,174.90 / $1,258.93	Facility		$891.25	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $2,818.38	Facility		$831.76	$851.14	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,778.28	Professional		$851.14	$1,318.26	$1,778.28
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 $851.14 / $1,174.90 / $1,584.89	Professional		$851.14	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,659.59	Professional		$588.84	$891.25	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $1,122.02	Professional		$588.84	$676.08	$1,122.02