Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $7,762.47 / $20,892.96	Facility		$1,513.56	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,905.46	Professional		$660.69	$812.83	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,818.38	Facility		$645.65	$1,122.02	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,398.83	Professional		$891.25	$1,258.93	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $8,128.31	Facility		$1,071.52	$1,737.80	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,630.27	Professional		$1,071.52	$1,659.59	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Facility		$1,071.52	$1,071.52	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,344.23	Professional		$1,096.48	$1,737.80	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,041.74	Professional		$933.25	$1,479.11	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $8,912.51 / $16,595.87	Facility		$1,047.13	$8,912.51	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,238.72	Professional		$776.25	$1,071.52	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,380.38	Professional		$741.31	$851.14	$1,380.38