Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $8,317.64 / $20,892.96	Facility		$1,348.96	$8,317.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,290.87	Professional		$691.83	$933.25	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,137.96	Professional		$851.14	$1,348.96	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,698.24 / $13,182.57	Facility		$933.25	$1,698.24	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $4,897.79	Professional		$912.01	$1,584.89	$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 $1,174.90 / $1,380.38 / $1,445.44	Facility		$1,174.90	$1,380.38	$1,445.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $977.24	Facility		$954.99	$977.24	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,089.30	Professional		$977.24	$1,621.81	$2,089.30
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 $977.24 / $1,380.38 / $1,862.09	Professional		$977.24	$1,380.38	$1,862.09
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 / $2,041.74	Professional		$707.95	$1,148.15	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,230.27	Professional		$645.65	$870.96	$1,230.27