Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $7,762.47 / $20,892.96	Facility		$1,174.90	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,548.82	Professional		$549.54	$676.08	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $912.01 / $3,981.07	Facility		$707.95	$912.01	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $1,862.09	Professional		$489.78	$977.24	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $3,388.44	Facility		$676.08	$1,288.25	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $2,041.74	Professional		$575.44	$1,148.15	$2,041.74
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 $870.96 / $1,148.15 / $1,258.93	Facility		$870.96	$1,148.15	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,995.26	Facility		$851.14	$851.14	$1,995.26
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 $5,370.32 / $7,943.28 / $15,135.61	Facility		$5,370.32	$7,943.28	$15,135.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $8,709.64 / $15,488.17	Facility		$1,548.82	$8,709.64	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,584.89	Professional		$588.84	$851.14	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $1,174.90	Professional		$616.60	$707.95	$1,174.90