Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,762.47 / $20,892.96	Facility		$1,698.24	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,238.72	Professional		$794.33	$1,023.29	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,445.44 / $2,691.53	Professional		$776.25	$1,445.44	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,884.03	Facility		$912.01	$1,445.44	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,344.23	Professional		$831.76	$1,445.44	$2,344.23
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 / $1,659.59 / $1,819.70	Facility		$1,230.27	$1,659.59	$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 / $1,949.84 / $2,630.27	Professional		$1,230.27	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,511.38 / $16,218.10	Facility		$6,456.54	$8,511.38	$16,218.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,290.87	Professional		$1,202.26	$1,698.24	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $9,120.11	Facility		$1,122.02	$5,495.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,398.83	Professional		$891.25	$1,288.25	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,778.28	Professional		$933.25	$1,071.52	$1,778.28