Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,128.61 / $18,620.87	Facility		$1,348.96	$5,128.61	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $2,630.27	Professional		$630.96	$912.01	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,344.23	Facility		$645.65	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,344.23	Professional		$851.14	$1,288.25	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,659.59 / $2,951.21	Facility		$1,047.13	$1,659.59	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,398.83	Professional		$1,071.52	$1,621.81	$2,398.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,737.80	Facility		$1,202.26	$1,659.59	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,202.26	Facility		$1,071.52	$1,148.15	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,187.76	Professional		$977.24	$1,621.81	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $10,000.00	Facility		$3,548.13	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $1,905.46	Professional		$954.99	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,290.87	Professional		$891.25	$1,148.15	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,288.25	Professional		$630.96	$912.01	$1,288.25