Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,762.47 / $20,892.96	Facility		$1,862.09	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,202.26 / $2,630.27	Professional		$812.83	$1,202.26	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $2,884.03	Facility		$741.31	$741.31	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $3,019.95	Professional		$954.99	$1,548.82	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $5,888.44	Facility		$1,174.90	$1,513.56	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,754.23	Professional		$1,174.90	$1,513.56	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $575.44	Professional		$32.36	$33.11	$575.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,949.84	Facility		$1,318.26	$1,819.70	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $1,318.26	Facility		$1,122.02	$1,288.25	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,818.38	Professional		$1,318.26	$2,187.76	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,606.93 / $12,589.25	Facility		$4,466.84	$6,606.93	$12,589.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,019.95	Professional		$1,318.26	$1,949.84	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $6,606.93 / $13,182.57	Facility		$154.88	$6,606.93	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,691.53	Professional		$977.24	$1,412.54	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,148.15 / $1,621.81	Professional		$128.82	$1,148.15	$1,621.81