Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $6,025.60 / $18,620.87	Facility		$1,905.46	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,630.27	Professional		$912.01	$1,148.15	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,995.26	Facility		$707.95	$870.96	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,090.30	Professional		$954.99	$1,621.81	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,090.30	Facility		$1,000.00	$1,621.81	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,570.40	Professional		$977.24	$1,584.89	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,041.74	Facility		$1,548.82	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,951.21	Professional		$1,380.38	$2,137.96	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $8,709.64	Facility		$3,467.37	$4,570.88	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,570.40	Professional		$1,380.38	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,623.41 / $10,964.78	Facility		$1,995.26	$5,623.41	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,818.38	Professional		$977.24	$1,479.11	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,737.80	Professional		$912.01	$1,047.13	$1,737.80