Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,019.95 / $20,892.96	Facility		$1,737.80	$3,019.95	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,951.21	Professional		$891.25	$1,318.26	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $3,630.78	Professional		$1,023.29	$1,819.70	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $3,090.30	Facility		$954.99	$1,698.24	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,884.03	Professional		$954.99	$1,584.89	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $524.81	Professional		$32.36	$33.11	$524.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,454.71	Facility		$1,479.11	$1,995.26	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,467.37	Professional		$1,659.59	$2,570.40	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,495.41 / $10,471.29	Facility		$3,890.45	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,290.87 / $3,090.30	Professional		$1,659.59	$2,290.87	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $6,760.83 / $11,220.18	Facility		$1,122.02	$6,760.83	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $3,235.94	Professional		$1,096.48	$1,698.24	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,238.72	Professional		$1,174.90	$1,348.96	$2,238.72