Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $17,782.79	Facility		$575.44	$3,311.31	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,000.00 / $2,511.89	Professional		$323.59	$1,000.00	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $977.24 / $3,801.89	Professional		$398.11	$977.24	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,290.87 / $12,022.64	Facility		$562.34	$2,290.87	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,862.09 / $3,467.37	Professional		$562.34	$1,862.09	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $194.98	Professional		$32.36	$33.11	$194.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,454.71	Facility		$1,819.70	$2,344.23	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Facility		$1,698.24	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,023.29 / $3,162.28	Professional		$426.58	$1,023.29	$3,162.28
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 $426.58 / $954.99 / $2,884.03	Professional		$426.58	$954.99	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,348.96 / $3,090.30	Professional		$407.38	$1,348.96	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $2,630.27	Professional		$338.84	$549.54	$2,630.27