Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $17,782.79	Facility		$1,445.44	$2,238.72	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,995.26	Professional		$645.65	$891.25	$1,995.26
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 $891.25 / $1,288.25 / $2,398.83	Professional		$891.25	$1,288.25	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $4,365.16	Facility		$1,047.13	$1,737.80	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,754.23	Professional		$1,096.48	$1,698.24	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $1,737.80	Facility		$1,174.90	$1,621.81	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,318.26	Facility		$1,174.90	$1,202.26	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $2,290.87	Professional		$1,047.13	$1,737.80	$2,290.87
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 $1,023.29 / $1,479.11 / $2,041.74	Professional		$1,023.29	$1,479.11	$2,041.74
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 $912.01 / $1,174.90 / $2,290.87	Professional		$912.01	$1,174.90	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Professional		$676.08	$912.01	$1,288.25