Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,548.13 / $18,620.87	Facility		$1,047.13	$3,548.13	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,621.81	Professional		$524.81	$676.08	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,047.13 / $1,659.59	Professional		$676.08	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,318.26 / $4,466.84	Facility		$741.31	$1,318.26	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $3,090.30	Professional		$707.95	$1,230.27	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,122.02	Facility		$912.01	$1,096.48	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Facility		$741.31	$758.58	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,621.81	Professional		$758.58	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,445.44	Professional		$758.58	$1,071.52	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $12,302.69 / $20,892.96	Facility		$933.25	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,584.89	Professional		$562.34	$891.25	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25