Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $6,025.60 / $18,620.87	Facility		$2,344.23	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $3,090.30	Professional		$707.95	$1,318.26	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $676.08 / $3,715.35	Facility		$630.96	$676.08	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,949.84 / $3,801.89	Professional		$812.83	$1,949.84	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,995.26 / $4,265.80	Facility		$676.08	$1,995.26	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,949.84 / $3,235.94	Professional		$676.08	$1,949.84	$3,235.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $2,511.89	Facility		$1,174.90	$2,454.71	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,737.80	Facility		$1,698.24	$1,698.24	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $3,630.78	Professional		$1,737.80	$2,691.53	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,235.94	Professional		$1,698.24	$2,398.83	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,819.70 / $3,388.44	Professional		$812.83	$1,819.70	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,187.76	Professional		$1,148.15	$1,318.26	$2,187.76