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 $478.63 / $602.56 / $1,548.82	Professional		$478.63	$602.56	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,248.07	Facility		$3,162.28	$3,162.28	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,047.13 / $1,659.59	Professional		$645.65	$1,047.13	$1,659.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $10,471.29	Facility		$724.44	$1,318.26	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,202.26 / $4,168.69	Professional		$707.95	$1,202.26	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,122.02	Facility		$851.14	$1,047.13	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $758.58 / $758.58	Facility		$741.31	$758.58	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,258.93 / $1,621.81	Professional		$758.58	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,445.44	Professional		$758.58	$1,071.52	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $30,199.52	Facility		$1,995.26	$17,378.01	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $851.14 / $1,584.89	Professional		$524.81	$851.14	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $933.25	Professional		$489.78	$660.69	$933.25