Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $18,620.87	Facility		$1,380.38	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,905.46	Professional		$645.65	$812.83	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $10,471.29	Facility		$630.96	$676.08	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $2,187.76	Professional		$691.83	$1,174.90	$2,187.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,479.11 / $12,882.50	Facility		$691.83	$1,479.11	$12,882.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $10,000.00	Professional		$691.83	$1,412.54	$10,000.00
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 $1,096.48 / $1,380.38 / $1,445.44	Facility		$1,096.48	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,000.00 / $2,818.38	Facility		$954.99	$1,000.00	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,089.30	Professional		$1,000.00	$1,548.82	$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 $977.24 / $1,380.38 / $1,862.09	Professional		$977.24	$1,380.38	$1,862.09
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 $724.44 / $1,047.13 / $1,949.84	Professional		$724.44	$1,047.13	$1,949.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,288.25	Professional		$676.08	$776.25	$1,288.25