Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $20,892.96	Facility		$1,737.80	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,398.83	Professional		$812.83	$1,023.29	$2,398.83
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 $851.14 / $1,479.11 / $2,754.23	Professional		$851.14	$1,479.11	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,862.09 / $4,265.80	Facility		$954.99	$1,862.09	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,737.80 / $2,951.21	Professional		$870.96	$1,737.80	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $1,819.70	Facility		$1,445.44	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,630.27	Professional		$1,258.93	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $9,332.54 / $17,378.01	Facility		$7,079.46	$9,332.54	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,344.23	Professional		$1,230.27	$1,737.80	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,220.18 / $18,620.87	Facility		$3,467.37	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,454.71	Professional		$912.01	$1,318.26	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,584.89	Professional		$851.14	$977.24	$1,584.89