Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,691.53 / $17,782.79	Facility		$741.31	$2,691.53	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $891.25 / $2,951.21	Professional		$371.54	$891.25	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,089.30	Facility		$707.95	$1,047.13	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,000.00 / $3,311.31	Professional		$416.87	$1,000.00	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $5,888.44	Facility		$524.81	$1,288.25	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,071.52 / $3,388.44	Professional		$467.74	$1,071.52	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $5,128.61	Facility		$1,348.96	$1,737.80	$5,128.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,318.26	Facility		$1,174.90	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,258.93 / $2,398.83	Professional		$537.03	$1,258.93	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,258.93 / $2,137.96	Professional		$616.60	$1,258.93	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $954.99 / $3,548.13	Professional		$426.58	$954.99	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $707.95 / $1,348.96	Professional		$371.54	$707.95	$1,348.96