Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $20,892.96	Facility		$1,698.24	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,570.40	Professional		$794.33	$1,000.00	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $2,691.53	Professional		$1,047.13	$1,698.24	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,290.87	Facility		$1,071.52	$1,819.70	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,290.87	Professional		$1,096.48	$1,862.09	$2,290.87
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 $1,380.38 / $1,737.80 / $1,819.70	Facility		$1,380.38	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,630.27	Professional		$1,258.93	$2,089.30	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $11,220.18	Facility		$11,220.18	$11,220.18	$11,220.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,344.23	Professional		$1,258.93	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $7,244.36	Facility		$2,454.71	$3,388.44	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $2,570.40	Professional		$870.96	$1,412.54	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56