Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $20,892.96	Facility		$1,513.56	$2,089.30	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,041.74	Professional		$660.69	$870.96	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,511.89	Professional		$691.83	$1,258.93	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $4,265.80	Facility		$794.33	$1,548.82	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,513.56 / $2,818.38	Professional		$724.44	$1,513.56	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $363.08	Professional		$32.36	$33.11	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,621.81	Facility		$1,071.52	$1,445.44	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,290.87	Professional		$1,096.48	$1,737.80	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,089.30	Professional		$1,122.02	$1,548.82	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,471.29 / $18,620.87	Facility		$1,995.26	$10,471.29	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,137.96	Professional		$776.25	$1,096.48	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,513.56	Professional		$794.33	$912.01	$1,513.56