Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,467.37 / $18,620.87	Facility		$1,148.15	$3,467.37	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $1,513.56	Professional		$389.05	$660.69	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $2,884.03	Facility		$478.63	$478.63	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,862.09	Professional		$602.56	$954.99	$1,862.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $5,888.44	Facility		$707.95	$1,412.54	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $2,238.72	Professional		$707.95	$1,348.96	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,202.26	Facility		$851.14	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $831.76 / $1,122.02	Facility		$794.33	$831.76	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $1,737.80	Professional		$831.76	$1,348.96	$1,737.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $12,589.25	Facility		$5,011.87	$6,760.83	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $1,819.70	Professional		$812.83	$1,230.27	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,182.57	Facility		$1,380.38	$7,244.36	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,659.59	Professional		$588.84	$870.96	$1,659.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $724.44 / $1,023.29	Professional		$79.43	$724.44	$1,023.29