Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $18,620.87	Facility		$1,548.82	$2,089.30	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,570.40	Professional		$724.44	$1,023.29	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,174.90	Facility		$741.31	$741.31	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,691.53	Professional		$831.76	$1,380.38	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $2,290.87	Facility		$645.65	$1,174.90	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,202.26 / $2,238.72	Professional		$645.65	$1,202.26	$2,238.72
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 $1,202.26 / $1,659.59 / $1,778.28	Facility		$1,202.26	$1,659.59	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,174.90 / $1,202.26	Facility		$549.54	$1,174.90	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,344.23	Professional		$1,122.02	$1,862.09	$2,344.23
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 $1,202.26 / $1,698.24 / $2,454.71	Professional		$1,202.26	$1,698.24	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $7,244.36 / $13,182.57	Facility		$1,380.38	$7,244.36	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,290.87	Professional		$891.25	$1,258.93	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $1,047.13 / $1,737.80	Professional		$117.49	$1,047.13	$1,737.80