Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $20,892.96	Facility		$1,318.26	$2,041.74	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,819.70	Professional		$660.69	$851.14	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $2,089.30	Professional		$851.14	$1,318.26	$2,089.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,659.59 / $13,182.57	Facility		$933.25	$1,659.59	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $4,897.79	Professional		$891.25	$1,548.82	$4,897.79
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 $1,148.15 / $1,380.38 / $1,412.54	Facility		$1,148.15	$1,380.38	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $954.99 / $954.99	Facility		$933.25	$954.99	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,041.74	Professional		$954.99	$1,584.89	$2,041.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,819.70	Professional		$954.99	$1,348.96	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $18,620.87 / $32,359.37	Facility		$3,467.37	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,148.15 / $1,995.26	Professional		$707.95	$1,148.15	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,174.90	Professional		$616.60	$831.76	$1,174.90