Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,943.28 / $20,892.96	Facility		$1,000.00	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,584.89	Professional		$489.78	$691.83	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,000.00 / $1,584.89	Professional		$645.65	$1,000.00	$1,584.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,288.25 / $13,182.57	Facility		$707.95	$1,288.25	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,174.90 / $4,897.79	Professional		$676.08	$1,174.90	$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 $870.96 / $1,023.29 / $1,071.52	Facility		$870.96	$1,023.29	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $724.44 / $724.44	Facility		$707.95	$724.44	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $1,548.82	Professional		$724.44	$1,202.26	$1,548.82
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 $724.44 / $1,023.29 / $1,380.38	Professional		$724.44	$1,023.29	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $18,620.87 / $32,359.37	Facility		$2,454.71	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,513.56	Professional		$524.81	$851.14	$1,513.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25