Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,762.47 / $20,892.96	Facility		$1,905.46	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,630.27	Professional		$912.01	$1,174.90	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $3,388.44	Facility		$707.95	$870.96	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $3,090.30	Professional		$1,000.00	$1,621.81	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,698.24 / $3,235.94	Facility		$977.24	$1,698.24	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,630.27	Professional		$977.24	$1,659.59	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,041.74	Facility		$1,445.44	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,951.21	Professional		$1,380.38	$2,187.76	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,570.40	Professional		$1,412.54	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $8,511.38 / $16,595.87	Facility		$1,122.02	$8,511.38	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,818.38	Professional		$1,047.13	$1,513.56	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,778.28	Professional		$933.25	$1,071.52	$1,778.28