Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $18,620.87	Facility		$1,148.15	$2,398.83	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $2,041.74	Professional		$645.65	$912.01	$2,041.74
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 $912.01 / $1,348.96 / $2,454.71	Professional		$912.01	$1,348.96	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,951.21	Facility		$1,096.48	$1,698.24	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,398.83	Professional		$1,096.48	$1,698.24	$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 $1,258.93 / $1,698.24 / $1,778.28	Facility		$1,258.93	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,230.27	Facility		$1,071.52	$1,174.90	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,238.72	Professional		$1,023.29	$1,698.24	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $10,000.00	Facility		$3,801.89	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,995.26	Professional		$1,000.00	$1,412.54	$1,995.26
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 / $1,202.26 / $2,290.87	Professional		$891.25	$1,202.26	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,258.93	Professional		$645.65	$891.25	$1,258.93