Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,677.35 / $18,620.87	Facility		$1,412.54	$4,677.35	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $2,089.30	Professional		$660.69	$870.96	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $8,709.64	Facility		$630.96	$758.58	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,202.26 / $2,290.87	Professional		$660.69	$1,202.26	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,513.56 / $5,754.40	Facility		$758.58	$1,513.56	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $3,715.35	Professional		$758.58	$1,479.11	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $338.84	Professional		$32.36	$33.11	$338.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,513.56	Facility		$1,071.52	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,819.70	Facility		$1,000.00	$1,023.29	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,187.76	Professional		$1,023.29	$1,584.89	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $36,307.81	Facility		$12,882.50	$19,054.61	$36,307.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $1,905.46	Professional		$1,023.29	$1,412.54	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,748.98 / $19,498.45	Facility		$3,467.37	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,041.74	Professional		$741.31	$1,122.02	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,258.93	Professional		$660.69	$758.58	$1,258.93