Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $7,943.28 / $20,892.96	Facility		$1,122.02	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $645.65 / $1,621.81	Professional		$512.86	$645.65	$1,621.81
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 $660.69 / $1,122.02 / $1,778.28	Professional		$660.69	$1,122.02	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $13,803.84	Facility		$758.58	$1,412.54	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $4,168.69	Professional		$758.58	$1,288.25	$4,168.69
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 / $1,096.48 / $1,202.26	Facility		$912.01	$1,096.48	$1,202.26
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 $10,000.00 / $14,125.38 / $26,915.35	Facility		$10,000.00	$14,125.38	$26,915.35
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 $3,467.37 / $17,782.79 / $30,199.52	Facility		$3,467.37	$17,782.79	$30,199.52
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 $524.81 / $707.95 / $1,000.00	Professional		$524.81	$707.95	$1,000.00