Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $17,782.79	Facility		$1,412.54	$2,511.89	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $954.99 / $2,137.96	Professional		$616.60	$954.99	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,862.09	Facility		$630.96	$758.58	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,348.96 / $2,884.03	Professional		$645.65	$1,348.96	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,344.23	Facility		$660.69	$1,071.52	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,071.52 / $2,137.96	Professional		$660.69	$1,071.52	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $1,905.46	Facility		$1,000.00	$1,548.82	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,348.96	Facility		$1,148.15	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,454.71	Professional		$1,096.48	$1,819.70	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,365.16 / $8,317.64	Facility		$3,311.31	$4,365.16	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,238.72	Professional		$1,122.02	$1,584.89	$2,238.72
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 $724.44 / $1,148.15 / $2,290.87	Professional		$724.44	$1,148.15	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56