Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,754.23 / $20,892.96	Facility		$1,412.54	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $2,511.89	Professional		$776.25	$1,047.13	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,238.72	Professional		$1,071.52	$1,548.82	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $6,918.31	Facility		$954.99	$1,659.59	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,238.72	Professional		$954.99	$1,621.81	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,862.09	Facility		$1,258.93	$1,445.44	$1,862.09
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 / $1,737.80 / $2,238.72	Professional		$1,047.13	$1,737.80	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $8,709.64	Facility		$3,311.31	$4,677.35	$8,709.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,041.74	Professional		$1,071.52	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,495.41 / $9,332.54	Facility		$1,096.48	$5,495.41	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,187.76	Professional		$891.25	$1,318.26	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,318.26	Professional		$812.83	$933.25	$1,318.26