Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $17,782.79	Facility		$1,318.26	$2,454.71	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,949.84	Professional		$616.60	$891.25	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $912.01 / $2,344.23	Facility		$562.34	$912.01	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $2,344.23	Professional		$851.14	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,951.21	Facility		$1,023.29	$1,621.81	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,344.23	Professional		$1,047.13	$1,621.81	$2,344.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $316.23	Professional		$32.36	$33.11	$316.23
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 $1,071.52 / $1,122.02 / $1,174.90	Facility		$1,071.52	$1,122.02	$1,174.90
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 $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 $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 $851.14 / $1,122.02 / $2,238.72	Professional		$851.14	$1,122.02	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $870.96 / $1,230.27	Professional		$616.60	$870.96	$1,230.27