Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,025.60 / $18,620.87	Facility		$1,202.26	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,862.09	Professional		$602.56	$776.25	$1,862.09
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 $758.58 / $1,174.90 / $1,905.46	Professional		$758.58	$1,174.90	$1,905.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,513.56 / $13,182.57	Facility		$831.76	$1,513.56	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $4,897.79	Professional		$794.33	$1,412.54	$4,897.79
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 $1,047.13 / $1,230.27 / $1,258.93	Facility		$1,047.13	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $870.96 / $870.96	Facility		$831.76	$870.96	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,862.09	Professional		$870.96	$1,412.54	$1,862.09
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 $851.14 / $1,202.26 / $1,659.59	Professional		$851.14	$1,202.26	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $18,620.87 / $32,359.37	Facility		$1,995.26	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,023.29 / $1,819.70	Professional		$630.96	$1,023.29	$1,819.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48