Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $6,025.60 / $18,620.87	Facility		$1,096.48	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,513.56	Professional		$501.19	$676.08	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $501.19 / $2,187.76	Facility		$467.74	$501.19	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,778.28	Professional		$512.86	$933.25	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,148.15 / $2,089.30	Facility		$616.60	$1,148.15	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $1,698.24	Professional		$575.44	$1,096.48	$1,698.24
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 $831.76 / $1,122.02 / $1,174.90	Facility		$831.76	$1,122.02	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $794.33	Facility		$776.25	$776.25	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,659.59	Professional		$794.33	$1,230.27	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,471.29	Facility		$3,715.35	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $1,479.11	Professional		$776.25	$1,096.48	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,760.83 / $11,220.18	Facility		$1,995.26	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,584.89	Professional		$588.84	$851.14	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $977.24	Professional		$512.86	$588.84	$977.24