Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $20,892.96	Facility		$1,148.15	$1,737.80	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,513.56	Professional		$537.03	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,819.70	Professional		$575.44	$954.99	$1,819.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,995.26	Facility		$602.56	$1,047.13	$1,995.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $954.99 / $1,513.56	Professional		$549.54	$954.99	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $275.42	Professional		$32.36	$33.11	$275.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,230.27	Facility		$831.76	$1,122.02	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Facility		$831.76	$831.76	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,819.70	Professional		$851.14	$1,318.26	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,897.79	Facility		$1,819.70	$2,570.40	$4,897.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,513.56	Professional		$870.96	$1,148.15	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,162.28 / $6,309.57	Facility		$933.25	$3,162.28	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,548.82	Professional		$575.44	$831.76	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $1,148.15	Professional		$602.56	$691.83	$1,148.15