Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,290.87 / $17,782.79	Facility		$1,348.96	$2,290.87	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,995.26	Professional		$660.69	$912.01	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,737.80	Facility		$467.74	$562.34	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,288.25 / $2,570.40	Professional		$691.83	$1,288.25	$2,570.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,174.90 / $2,137.96	Facility		$741.31	$1,174.90	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $1,995.26	Professional		$741.31	$1,174.90	$1,995.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $1,737.80	Facility		$1,096.48	$1,548.82	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $1,174.90	Facility		$1,148.15	$1,174.90	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,187.76	Professional		$1,000.00	$1,621.81	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,317.64	Facility		$2,884.03	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,041.74	Professional		$1,000.00	$1,445.44	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $8,912.51	Facility		$1,122.02	$5,370.32	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,089.30	Professional		$776.25	$1,096.48	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,318.26	Professional		$691.83	$933.25	$1,318.26