Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,778.28 / $18,620.87	Facility		$933.25	$1,778.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,621.81	Professional		$446.68	$660.69	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,905.46	Professional		$512.86	$933.25	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,000.00 / $2,884.03	Facility		$562.34	$1,000.00	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $977.24 / $1,905.46	Professional		$562.34	$977.24	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $257.04	Professional		$32.36	$33.11	$257.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,318.26	Facility		$891.25	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $977.24	Facility		$870.96	$891.25	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $1,621.81	Professional		$691.83	$1,174.90	$1,621.81
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 $660.69 / $1,047.13 / $1,548.82	Professional		$660.69	$1,047.13	$1,548.82
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 $562.34 / $831.76 / $1,659.59	Professional		$562.34	$831.76	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $954.99	Professional		$467.74	$676.08	$954.99