Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $18,620.87	Facility		$1,047.13	$2,041.74	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,778.28	Professional		$575.44	$812.83	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $1,513.56	Facility		$645.65	$1,122.02	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $2,137.96	Professional		$794.33	$1,202.26	$2,137.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,951.21	Facility		$977.24	$1,513.56	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,187.76	Professional		$977.24	$1,513.56	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $295.12	Professional		$32.36	$33.11	$295.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $1,584.89	Facility		$1,122.02	$1,548.82	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,071.52	Facility		$1,047.13	$1,047.13	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,041.74	Professional		$891.25	$1,513.56	$2,041.74
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 $891.25 / $1,258.93 / $1,737.80	Professional		$891.25	$1,258.93	$1,737.80
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 $794.33 / $1,071.52 / $2,041.74	Professional		$794.33	$1,071.52	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,148.15	Professional		$575.44	$812.83	$1,148.15