Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $7,943.28 / $20,892.96	Facility		$1,096.48	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,584.89	Professional		$512.86	$724.44	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,454.71	Facility		$912.01	$912.01	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,778.28	Professional		$562.34	$891.25	$1,778.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,288.25 / $5,754.40	Facility		$676.08	$1,288.25	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,230.27 / $1,949.84	Professional		$676.08	$1,230.27	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,148.15	Facility		$794.33	$1,071.52	$1,148.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $776.25	Facility		$758.58	$758.58	$776.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,288.25 / $1,659.59	Professional		$776.25	$1,288.25	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $12,589.25	Facility		$4,365.16	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,737.80	Professional		$776.25	$1,174.90	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,413.10 / $13,489.63	Facility		$1,380.38	$7,413.10	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $1,584.89	Professional		$549.54	$812.83	$1,584.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $691.83 / $977.24	Professional		$75.86	$691.83	$977.24