Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $7,762.47 / $20,892.96	Facility		$1,258.93	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,949.84	Professional		$602.56	$851.14	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,738.03 / $40,738.03 / $40,738.03	Facility		$40,738.03	$40,738.03	$40,738.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,995.26	Professional		$794.33	$1,258.93	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,584.89 / $54,954.09	Facility		$870.96	$1,584.89	$54,954.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $32,359.37	Professional		$851.14	$1,445.44	$32,359.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,348.96	Facility		$1,071.52	$1,258.93	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $912.01 / $912.01	Facility		$870.96	$912.01	$912.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $1,949.84	Professional		$912.01	$1,513.56	$1,949.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $57,543.99 / $109,647.82	Facility		$39,810.72	$57,543.99	$109,647.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $1,737.80	Professional		$891.25	$1,288.25	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $70,794.58 / $123,026.88	Facility		$7,762.47	$70,794.58	$123,026.88
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,862.09	Professional		$645.65	$1,071.52	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,174.90	Professional		$630.96	$851.14	$1,174.90