Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,025.60 / $18,620.87	Facility		$1,122.02	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,862.09	Professional		$549.54	$758.58	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,890.45	Facility		$2,344.23	$2,344.23	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,778.28	Professional		$707.95	$1,122.02	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,412.54 / $8,317.64	Facility		$776.25	$1,412.54	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,318.26 / $3,090.30	Professional		$758.58	$1,318.26	$3,090.30
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 $912.01 / $1,174.90 / $1,258.93	Facility		$912.01	$1,174.90	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $812.83 / $812.83	Facility		$794.33	$812.83	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $1,737.80	Professional		$812.83	$1,348.96	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,548.82	Professional		$812.83	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,698.24	Professional		$588.84	$977.24	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,047.13	Professional		$549.54	$741.31	$1,047.13