Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $8,128.31 / $20,892.96	Facility		$1,445.44	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,995.26	Professional		$660.69	$870.96	$1,995.26
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 $707.95 / $1,202.26 / $2,344.23	Professional		$707.95	$1,202.26	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $4,265.80	Facility		$776.25	$1,479.11	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $2,818.38	Professional		$691.83	$1,412.54	$2,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $93.33	Professional		$32.36	$33.11	$93.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,548.82	Facility		$1,000.00	$1,380.38	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,187.76	Professional		$1,047.13	$1,621.81	$2,187.76
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 $1,071.52 / $1,445.44 / $1,949.84	Professional		$1,071.52	$1,445.44	$1,949.84
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 $741.31 / $1,071.52 / $1,995.26	Professional		$741.31	$1,071.52	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,445.44	Professional		$758.58	$870.96	$1,445.44