Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,025.60 / $18,620.87	Facility		$1,148.15	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,621.81	Professional		$537.03	$724.44	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,801.89	Facility		$2,238.72	$2,238.72	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,862.09	Professional		$676.08	$1,148.15	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,445.44 / $8,912.51	Facility		$794.33	$1,445.44	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,951.21	Professional		$776.25	$1,348.96	$2,951.21
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 $831.76 / $1,122.02 / $1,230.27	Facility		$831.76	$1,122.02	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $831.76 / $831.76	Facility		$812.83	$831.76	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $1,778.28	Professional		$831.76	$1,380.38	$1,778.28
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 $831.76 / $1,174.90 / $1,584.89	Professional		$831.76	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,748.98 / $19,054.61	Facility		$2,454.71	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,698.24	Professional		$562.34	$912.01	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,047.13	Professional		$549.54	$741.31	$1,047.13