Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $7,943.28 / $20,892.96	Facility		$1,047.13	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,445.44	Professional		$512.86	$707.95	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,047.13 / $1,659.59	Professional		$660.69	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $10,715.19	Facility		$707.95	$1,318.26	$10,715.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $3,162.28	Professional		$707.95	$1,202.26	$3,162.28
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 $776.25 / $1,071.52 / $1,122.02	Facility		$776.25	$1,071.52	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,659.59	Professional		$758.58	$1,258.93	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,772.37 / $18,620.87	Facility		$7,079.46	$9,772.37	$18,620.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,445.44	Professional		$776.25	$1,071.52	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,589.25 / $21,379.62	Facility		$2,454.71	$12,589.25	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $870.96 / $1,584.89	Professional		$537.03	$870.96	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,023.29	Professional		$537.03	$724.44	$1,023.29