Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $7,762.47 / $20,892.96	Facility		$1,071.52	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $707.95 / $1,584.89	Professional		$537.03	$707.95	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,884.03	Facility		$741.31	$741.31	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,737.80	Professional		$575.44	$891.25	$1,737.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,348.96 / $5,888.44	Facility		$691.83	$1,348.96	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $2,238.72	Professional		$691.83	$1,318.26	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,122.02	Facility		$831.76	$1,071.52	$1,122.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $776.25 / $954.99	Facility		$741.31	$776.25	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $1,621.81	Professional		$776.25	$1,258.93	$1,621.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $12,589.25	Facility		$4,786.30	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Professional		$758.58	$1,148.15	$1,737.80
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 $575.44 / $831.76 / $1,548.82	Professional		$575.44	$831.76	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $676.08 / $954.99	Professional		$74.13	$676.08	$954.99