Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $20,892.96	Facility		$1,698.24	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $2,238.72	Professional		$758.58	$954.99	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $2,818.38	Facility		$794.33	$1,288.25	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $8,128.31	Facility		$1,122.02	$1,905.46	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,754.23	Professional		$1,122.02	$1,862.09	$2,754.23
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 $1,230.27 / $1,698.24 / $1,819.70	Facility		$1,230.27	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $2,630.27	Professional		$1,230.27	$2,041.74	$2,630.27
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 $1,047.13 / $1,659.59 / $2,290.87	Professional		$1,047.13	$1,659.59	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $10,232.93 / $16,595.87	Facility		$1,862.09	$10,232.93	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,570.40	Professional		$933.25	$1,230.27	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,584.89	Professional		$831.76	$954.99	$1,584.89