Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $20,892.96	Facility		$1,621.81	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $2,344.23	Professional		$660.69	$954.99	$2,344.23
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 $724.44 / $1,348.96 / $2,630.27	Professional		$724.44	$1,348.96	$2,630.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,659.59 / $4,265.80	Facility		$851.14	$1,659.59	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,621.81 / $2,818.38	Professional		$776.25	$1,621.81	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $104.71	Professional		$32.36	$33.11	$104.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,737.80	Facility		$1,096.48	$1,479.11	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,454.71	Professional		$1,174.90	$1,819.70	$2,454.71
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 $1,202.26 / $1,621.81 / $2,238.72	Professional		$1,202.26	$1,621.81	$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 / $1,202.26 / $2,238.72	Professional		$831.76	$1,202.26	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81