Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,762.47 / $20,892.96	Facility		$1,230.27	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,737.80	Professional		$575.44	$741.31	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,290.87 / $4,466.84	Facility		$707.95	$2,290.87	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,949.84	Professional		$616.60	$1,047.13	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,318.26 / $4,265.80	Facility		$676.08	$1,318.26	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,258.93 / $2,818.38	Professional		$616.60	$1,258.93	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,318.26	Facility		$1,023.29	$1,230.27	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $977.24	Facility		$851.14	$891.25	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $1,862.09	Professional		$891.25	$1,380.38	$1,862.09
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 $870.96 / $1,230.27 / $1,659.59	Professional		$870.96	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,737.80	Professional		$645.65	$933.25	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15