Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $9,772.37 / $22,908.68	Facility		$1,288.25	$9,772.37	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,778.28	Professional		$575.44	$812.83	$1,778.28
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 $724.44 / $1,288.25 / $2,089.30	Professional		$724.44	$1,288.25	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,621.81 / $15,848.93	Facility		$870.96	$1,621.81	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,513.56 / $5,495.41	Professional		$831.76	$1,513.56	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,380.38	Facility		$891.25	$1,230.27	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $1,949.84	Professional		$933.25	$1,548.82	$1,949.84
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 $954.99 / $1,318.26 / $1,778.28	Professional		$954.99	$1,318.26	$1,778.28
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 $616.60 / $977.24 / $1,905.46	Professional		$616.60	$977.24	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,202.26	Professional		$630.96	$851.14	$1,202.26