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 $933.25 / $1,122.02 / $2,630.27	Professional		$933.25	$1,122.02	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $3,090.30	Professional		$794.33	$1,621.81	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,548.13	Facility		$1,174.90	$2,089.30	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,862.09 / $2,754.23	Professional		$954.99	$1,862.09	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,041.74	Facility		$1,479.11	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $2,951.21	Professional		$1,412.54	$2,187.76	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $17,378.01	Facility		$5,888.44	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,511.89	Professional		$1,513.56	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,232.93 / $18,620.87	Facility		$1,548.82	$10,232.93	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,570.40	Professional		$912.01	$1,412.54	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,659.59	Professional		$870.96	$1,023.29	$1,659.59