Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $11,481.54 / $21,877.62	Facility		$1,071.52	$11,481.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $1,380.38	Professional		$660.69	$660.69	$1,380.38
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 $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,011.87 / $15,135.61	Facility		$2,398.83	$5,011.87	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $5,128.61	Professional		$2,344.23	$4,073.80	$5,128.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $79.43	Professional		$32.36	$50.12	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $8,709.64	Facility		$1,412.54	$1,412.54	$8,709.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,995.26	Facility		$1,318.26	$1,318.26	$1,995.26
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 $1,621.81 / $1,737.80 / $1,737.80	Professional		$1,621.81	$1,737.80	$1,737.80
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
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93