Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,762.47 / $20,892.96	Facility		$1,621.81	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,238.72	Professional		$724.44	$933.25	$2,238.72
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 $794.33 / $1,348.96 / $2,630.27	Professional		$794.33	$1,348.96	$2,630.27
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 / $1,584.89 / $2,818.38	Professional		$794.33	$1,584.89	$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 $1,230.27 / $1,548.82 / $1,698.24	Facility		$1,230.27	$1,548.82	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$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 $1,174.90 / $1,621.81 / $2,187.76	Professional		$1,174.90	$1,621.81	$2,187.76
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 $831.76 / $954.99 / $1,584.89	Professional		$831.76	$954.99	$1,584.89