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 $776.25 / $1,023.29 / $2,290.87	Professional		$776.25	$1,023.29	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,630.27	Professional		$812.83	$1,412.54	$2,630.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $4,265.80	Facility		$912.01	$1,778.28	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,659.59 / $2,884.03	Professional		$831.76	$1,659.59	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $1,737.80	Facility		$1,202.26	$1,659.59	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Facility		$1,148.15	$1,148.15	$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 $6,165.95 / $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 $1,174.90 / $1,621.81 / $2,238.72	Professional		$1,174.90	$1,621.81	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $9,549.93 / $18,620.87	Facility		$1,122.02	$9,549.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,344.23	Professional		$870.96	$1,258.93	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,548.82	Professional		$812.83	$933.25	$1,548.82