Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,025.60 / $18,620.87	Facility		$1,479.11	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $2,041.74	Professional		$691.83	$870.96	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $8,317.64	Facility		$630.96	$676.08	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $2,344.23	Professional		$741.31	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,584.89 / $8,128.31	Facility		$758.58	$1,584.89	$8,128.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,513.56 / $6,309.57	Professional		$758.58	$1,513.56	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,548.82	Facility		$1,202.26	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $2,187.76	Facility		$1,023.29	$1,071.52	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,238.72	Professional		$1,071.52	$1,659.59	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,995.26	Professional		$1,047.13	$1,479.11	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,089.30	Professional		$758.58	$1,148.15	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,380.38	Professional		$724.44	$831.76	$1,380.38