Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $7,762.47 / $20,892.96	Facility		$954.99	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,380.38	Professional		$467.74	$575.44	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $8,317.64	Facility		$707.95	$912.01	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,513.56	Professional		$457.09	$794.33	$1,513.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,071.52 / $7,079.46	Facility		$575.44	$1,071.52	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $3,715.35	Professional		$489.78	$954.99	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $1,000.00	Facility		$758.58	$977.24	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $691.83 / $4,168.69	Facility		$660.69	$691.83	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,445.44	Professional		$691.83	$1,071.52	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,258.93	Professional		$741.31	$954.99	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $33,113.11	Facility		$2,884.03	$17,378.01	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,258.93	Professional		$467.74	$707.95	$1,258.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $512.86 / $851.14	Professional		$446.68	$512.86	$851.14