Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $17,782.79	Facility		$1,122.02	$3,981.07	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,949.84	Professional		$616.60	$870.96	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Professional		$575.44	$575.44	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $4,677.35	Facility		$562.34	$912.01	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,290.87	Professional		$831.76	$1,258.93	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $5,011.87	Facility		$1,023.29	$1,659.59	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,630.27	Professional		$1,023.29	$1,621.81	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $309.03	Professional		$32.36	$33.11	$309.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,698.24	Facility		$1,174.90	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,318.26	Facility		$1,148.15	$1,174.90	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,187.76	Professional		$954.99	$1,584.89	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,862.09	Professional		$933.25	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,022.64 / $20,417.38	Facility		$2,137.96	$12,022.64	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,238.72	Professional		$870.96	$1,148.15	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,258.93	Professional		$616.60	$891.25	$1,258.93