Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $17,782.79	Facility		$1,202.26	$1,905.46	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,862.09	Professional		$588.84	$851.14	$1,862.09
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 $691.83 / $1,096.48 / $2,137.96	Professional		$691.83	$1,096.48	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,630.27	Facility		$794.33	$1,380.38	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,380.38 / $2,041.74	Professional		$794.33	$1,380.38	$2,041.74
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 / $1,380.38 / $1,479.11	Facility		$1,023.29	$1,380.38	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $1,905.46	Professional		$891.25	$1,479.11	$1,905.46
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 $1,000.00 / $1,412.54 / $1,949.84	Professional		$1,000.00	$1,412.54	$1,949.84
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 $741.31 / $1,023.29 / $1,905.46	Professional		$741.31	$1,023.29	$1,905.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $870.96 / $1,445.44	Professional		$97.72	$870.96	$1,445.44