Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $20,892.96	Facility		$1,778.28	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,290.87	Professional		$776.25	$1,023.29	$2,290.87
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 $1,000.00 / $1,445.44 / $2,818.38	Professional		$1,000.00	$1,445.44	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $9,549.93	Facility		$1,230.27	$2,137.96	$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 $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $1,905.46	Facility		$1,318.26	$1,737.80	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,318.26	Facility		$1,258.93	$1,288.25	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,754.23	Professional		$1,288.25	$2,089.30	$2,754.23
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 $1,096.48 / $1,737.80 / $2,398.83	Professional		$1,096.48	$1,737.80	$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 / $1,288.25 / $2,630.27	Professional		$954.99	$1,288.25	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81