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 $575.44 / $776.25 / $1,659.59	Professional		$575.44	$776.25	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $12,589.25	Facility		$707.95	$870.96	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,071.52 / $1,905.46	Professional		$616.60	$1,071.52	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $10,471.29	Facility		$776.25	$1,380.38	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $8,511.38	Professional		$691.83	$1,258.93	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,258.93	Facility		$1,000.00	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $851.14 / $2,884.03	Facility		$812.83	$851.14	$2,884.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,819.70	Professional		$851.14	$1,318.26	$1,819.70
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 / $1,174.90 / $1,584.89	Professional		$831.76	$1,174.90	$1,584.89
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 $660.69 / $954.99 / $1,698.24	Professional		$660.69	$954.99	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15