Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,943.28 / $20,892.96	Facility		$1,659.59	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $2,238.72	Professional		$741.31	$954.99	$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 $812.83 / $1,380.38 / $2,691.53	Professional		$812.83	$1,380.38	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $4,265.80	Facility		$794.33	$1,659.59	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $2,818.38	Professional		$794.33	$1,621.81	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $354.81	Professional		$32.36	$33.11	$354.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $1,737.80	Facility		$1,148.15	$1,584.89	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,202.26	Facility		$1,174.90	$1,174.90	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,511.89	Professional		$1,202.26	$1,862.09	$2,511.89
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 / $1,659.59 / $2,238.72	Professional		$1,202.26	$1,659.59	$2,238.72
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 $831.76 / $1,230.27 / $2,290.87	Professional		$831.76	$1,230.27	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81