Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $11,748.98 / $21,877.62	Facility		$1,778.28	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $223.87	Professional		$138.04	$190.55	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,995.26	Facility		$1,174.90	$1,174.90	$1,995.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $6,456.54	Facility		$1,202.26	$2,187.76	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,187.76	Professional		$1,000.00	$1,513.56	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $741.31 / $1,412.54	Facility		$123.03	$741.31	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $562.34	Professional		$263.03	$446.68	$562.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $8,317.64	Facility		$3,162.28	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $501.19	Professional		$269.15	$371.54	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,332.54	Facility		$1,698.24	$5,754.40	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $660.69	Professional		$229.09	$323.59	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $2,238.72	Professional		$125.89	$239.88	$2,238.72