Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,862.09 / $17,782.79	Facility		$933.25	$1,862.09	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,862.09	Professional		$501.19	$758.58	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,023.29	Facility		$478.63	$478.63	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $933.25 / $1,862.09	Professional		$562.34	$933.25	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $933.25 / $1,819.70	Facility		$562.34	$933.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,659.59	Professional		$562.34	$954.99	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,380.38	Facility		$954.99	$1,318.26	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $933.25 / $954.99	Facility		$489.78	$933.25	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,737.80	Professional		$691.83	$1,202.26	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,778.28	Professional		$891.25	$1,258.93	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $6,918.31 / $13,182.57	Facility		$602.56	$6,918.31	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,737.80	Professional		$602.56	$933.25	$1,737.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $812.83 / $1,380.38	Professional		$91.20	$812.83	$1,380.38