Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $17,782.79	Facility		$1,096.48	$1,995.26	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $2,137.96	Professional		$537.03	$831.76	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,995.26	Professional		$588.84	$1,047.13	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,230.27 / $2,398.83	Facility		$707.95	$1,230.27	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,230.27 / $1,949.84	Professional		$707.95	$1,230.27	$1,949.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,513.56	Facility		$1,023.29	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,023.29	Facility		$933.25	$1,000.00	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $1,862.09	Professional		$776.25	$1,348.96	$1,862.09
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 $1,000.00 / $1,380.38 / $1,905.46	Professional		$1,000.00	$1,380.38	$1,905.46
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 $676.08 / $1,000.00 / $1,862.09	Professional		$676.08	$1,000.00	$1,862.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $891.25 / $1,479.11	Professional		$97.72	$891.25	$1,479.11