Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $7,943.28 / $20,892.96	Facility		$1,023.29	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,584.89	Professional		$501.19	$676.08	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,621.81	Professional		$645.65	$1,023.29	$1,621.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,288.25 / $16,982.44	Facility		$741.31	$1,288.25	$16,982.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $4,466.84	Professional		$707.95	$1,202.26	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,096.48	Facility		$891.25	$1,047.13	$1,096.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $741.31 / $741.31	Facility		$724.44	$741.31	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,584.89	Professional		$741.31	$1,230.27	$1,584.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,498.45 / $37,153.52	Facility		$12,882.50	$19,498.45	$37,153.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,412.54	Professional		$741.31	$1,071.52	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $24,547.09 / $42,657.95	Facility		$2,454.71	$24,547.09	$42,657.95
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,548.82	Professional		$537.03	$870.96	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96