Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,762.47 / $20,892.96	Facility		$1,096.48	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,513.56	Professional		$537.03	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,862.09	Professional		$660.69	$1,174.90	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $8,511.38	Facility		$758.58	$1,412.54	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $3,162.28	Professional		$741.31	$1,348.96	$3,162.28
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 $891.25 / $1,122.02 / $1,230.27	Facility		$891.25	$1,122.02	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $851.14	Facility		$831.76	$851.14	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,412.54 / $1,778.28	Professional		$851.14	$1,412.54	$1,778.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,912.51 / $16,982.44	Facility		$6,456.54	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $1,584.89	Professional		$851.14	$1,174.90	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,698.24	Professional		$562.34	$912.01	$1,698.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,071.52	Professional		$562.34	$758.58	$1,071.52