Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,762.47 / $20,892.96	Facility		$1,000.00	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,318.26	Professional		$446.68	$575.44	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,630.78	Facility		$2,187.76	$2,187.76	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,584.89	Professional		$602.56	$977.24	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,230.27 / $9,549.93	Facility		$660.69	$1,230.27	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,148.15 / $2,884.03	Professional		$645.65	$1,148.15	$2,884.03
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 $724.44 / $1,000.00 / $1,071.52	Facility		$724.44	$1,000.00	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $724.44	Facility		$707.95	$724.44	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,548.82	Professional		$724.44	$1,202.26	$1,548.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $20,892.96	Facility		$7,079.46	$10,715.19	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,348.96	Professional		$724.44	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $13,489.63 / $23,442.29	Facility		$1,995.26	$13,489.63	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $1,513.56	Professional		$512.86	$812.83	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24