Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,949.84 / $18,620.87	Facility		$870.96	$1,949.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $1,548.82	Professional		$457.09	$676.08	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,096.48 / $1,698.24	Professional		$660.69	$1,096.48	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,202.26 / $7,762.47	Facility		$691.83	$1,202.26	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,174.90 / $3,090.30	Professional		$691.83	$1,174.90	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,258.93	Facility		$912.01	$1,202.26	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $1,621.81	Professional		$645.65	$1,148.15	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,445.44	Professional		$707.95	$1,000.00	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $1,584.89	Professional		$602.56	$891.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $912.01	Professional		$426.58	$645.65	$912.01