Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $20,892.96	Facility		$1,548.82	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,344.23	Professional		$724.44	$933.25	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,454.71	Professional		$933.25	$1,548.82	$2,454.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,089.30	Facility		$977.24	$1,659.59	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $2,089.30	Professional		$1,023.29	$1,659.59	$2,089.30
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 $1,202.26 / $1,584.89 / $1,659.59	Facility		$1,202.26	$1,584.89	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,398.83	Professional		$1,122.02	$1,862.09	$2,398.83
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 $1,122.02 / $1,584.89 / $2,137.96	Professional		$1,122.02	$1,584.89	$2,137.96
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 $794.33 / $1,288.25 / $2,344.23	Professional		$794.33	$1,288.25	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38