Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $8,912.51 / $21,379.62	Facility		$1,905.46	$8,912.51	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,388.44	Professional		$933.25	$1,318.26	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,019.95	Professional		$1,230.27	$1,862.09	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $8,709.64	Facility		$1,318.26	$2,398.83	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $3,090.30	Professional		$1,258.93	$2,187.76	$3,090.30
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 $1,659.59 / $1,949.84 / $2,041.74	Facility		$1,659.59	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,951.21	Professional		$1,380.38	$2,238.72	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $9,772.37 / $19,054.61	Facility		$7,244.36	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,570.40	Professional		$1,348.96	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $12,302.69 / $20,892.96	Facility		$2,454.71	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $2,884.03	Professional		$1,023.29	$1,621.81	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,737.80	Professional		$912.01	$1,230.27	$1,737.80