Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $11,748.98 / $21,877.62	Facility		$1,778.28	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,348.96	Professional		$758.58	$870.96	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,677.35	Facility		$645.65	$1,122.02	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,754.23	Professional		$1,047.13	$1,412.54	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $9,549.93	Facility		$1,230.27	$2,089.30	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $4,073.80	Professional		$1,230.27	$1,995.26	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $1,819.70	Facility		$1,288.25	$1,778.28	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,318.26	Facility		$1,230.27	$1,258.93	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $2,691.53	Professional		$1,258.93	$2,041.74	$2,691.53
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 $1,071.52 / $1,698.24 / $2,398.83	Professional		$1,071.52	$1,698.24	$2,398.83
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 $954.99 / $1,318.26 / $2,630.27	Professional		$954.99	$1,318.26	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76