Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $6,025.60 / $18,620.87	Facility		$2,187.76	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,951.21	Professional		$912.01	$1,348.96	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $3,548.13	Professional		$1,071.52	$1,819.70	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,445.44 / $2,884.03	Facility		$346.74	$1,445.44	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,445.44 / $2,884.03	Professional		$346.74	$1,445.44	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $676.08	Professional		$32.36	$33.11	$676.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $2,290.87	Facility		$1,584.89	$2,238.72	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,513.56 / $1,548.82	Facility		$275.42	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,311.31	Professional		$1,548.82	$2,570.40	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $3,162.28	Facility		$1,202.26	$1,659.59	$3,162.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,290.87 / $3,548.13	Professional		$1,548.82	$2,290.87	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,905.46 / $4,365.16	Facility		$398.11	$1,905.46	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,162.28	Professional		$1,174.90	$1,698.24	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,318.26 / $1,862.09	Professional		$151.36	$1,318.26	$1,862.09