Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $7,943.28 / $20,892.96	Facility		$1,230.27	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,737.80	Professional		$588.84	$741.31	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,258.93	Facility		$1,000.00	$1,071.52	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $1,949.84	Professional		$616.60	$1,047.13	$1,949.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $7,244.36	Facility		$741.31	$1,348.96	$7,244.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,230.27 / $3,801.89	Professional		$616.60	$1,230.27	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $288.40	Professional		$32.36	$33.11	$288.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,318.26	Facility		$977.24	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Facility		$891.25	$891.25	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $1,949.84	Professional		$912.01	$1,412.54	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $31,622.78	Facility		$12,022.64	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,659.59	Professional		$1,000.00	$1,258.93	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $19,054.61 / $33,884.42	Facility		$3,235.94	$19,054.61	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,202.26	Professional		$630.96	$724.44	$1,202.26