Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $18,620.87	Facility		$912.01	$1,949.84	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,513.56	Professional		$457.09	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $831.76 / $1,548.82	Professional		$512.86	$831.76	$1,548.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,096.48 / $3,630.78	Facility		$575.44	$1,096.48	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,096.48 / $2,089.30	Professional		$575.44	$1,096.48	$2,089.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,174.90	Facility		$794.33	$1,096.48	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $812.83 / $1,000.00	Facility		$776.25	$812.83	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,096.48 / $1,513.56	Professional		$645.65	$1,096.48	$1,513.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $10,964.78 / $20,892.96	Facility		$7,244.36	$10,964.78	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,548.82	Professional		$794.33	$1,122.02	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,479.11	Professional		$549.54	$776.25	$1,479.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $707.95 / $1,148.15	Professional		$77.62	$707.95	$1,148.15