Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,025.60 / $18,620.87	Facility		$1,071.52	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,737.80	Professional		$537.03	$707.95	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $11,220.18	Facility		$6,760.83	$6,760.83	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,071.52 / $1,698.24	Professional		$691.83	$1,071.52	$1,698.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,348.96 / $25,703.96	Facility		$758.58	$1,348.96	$25,703.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $9,120.11	Professional		$724.44	$1,258.93	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,148.15	Facility		$933.25	$1,122.02	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $776.25 / $776.25	Facility		$758.58	$776.25	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,659.59	Professional		$776.25	$1,288.25	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $26,302.68 / $50,118.72	Facility		$17,782.79	$26,302.68	$50,118.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,479.11	Professional		$776.25	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $32,359.37 / $56,234.13	Facility		$933.25	$32,359.37	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $933.25 / $1,621.81	Professional		$575.44	$933.25	$1,621.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $977.24	Professional		$512.86	$691.83	$977.24