Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,762.47 / $20,892.96	Facility		$1,096.48	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,513.56	Professional		$489.78	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $2,398.83	Facility		$707.95	$870.96	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $891.25 / $1,778.28	Professional		$524.81	$891.25	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,290.87	Facility		$645.65	$1,122.02	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,071.52 / $1,621.81	Professional		$575.44	$1,071.52	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $263.03	Professional		$32.36	$33.11	$263.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,698.24	Professional		$794.33	$1,230.27	$1,698.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $8,709.64	Facility		$3,467.37	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,479.11	Professional		$794.33	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,025.60 / $12,022.64	Facility		$2,454.71	$6,025.60	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,548.82	Professional		$588.84	$851.14	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $1,071.52	Professional		$562.34	$645.65	$1,071.52