Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,388.44 / $18,620.87	Facility		$707.95	$3,388.44	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,230.27 / $2,630.27	Professional		$338.84	$1,230.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,047.13 / $3,801.89	Professional		$446.68	$1,047.13	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,570.40 / $12,022.64	Facility		$630.96	$2,570.40	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,041.74 / $3,801.89	Professional		$630.96	$2,041.74	$3,801.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $3,019.95	Facility		$1,995.26	$2,398.83	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Facility		$1,737.80	$1,737.80	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,122.02 / $3,162.28	Professional		$457.09	$1,122.02	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $9,120.11 / $17,378.01	Facility		$6,456.54	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $2,951.21	Professional		$467.74	$1,023.29	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,202.26 / $3,235.94	Professional		$467.74	$1,202.26	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $2,344.23	Professional		$346.74	$575.44	$2,344.23