Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $11,481.54 / $21,877.62	Facility		$1,096.48	$11,481.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,023.29	Professional		$407.38	$645.65	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,344.23	Facility		$1,862.09	$1,995.26	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,041.74	Professional		$588.84	$1,122.02	$2,041.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $26,302.68	Facility		$776.25	$1,479.11	$26,302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,230.27 / $15,848.93	Professional		$562.34	$1,230.27	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $44.67 / $64.57	Professional		$32.36	$44.67	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,318.26	Facility		$851.14	$1,000.00	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $891.25	Facility		$831.76	$831.76	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,041.74	Professional		$891.25	$1,380.38	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,118.86 / $38,904.51 / $74,131.02	Facility		$25,118.86	$38,904.51	$74,131.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,584.89	Professional		$933.25	$1,202.26	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $31,622.78 / $61,659.50	Facility		$5,011.87	$31,622.78	$61,659.50
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,445.44	Professional		$416.87	$707.95	$1,445.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31