Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $11,481.54 / $21,877.62	Facility		$2,818.38	$11,481.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $363.08	Professional		$33.88	$56.23	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $23,988.33 / $38,904.51	Facility		$8,709.64	$23,988.33	$38,904.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $15,488.17 / $21,379.62	Professional		$8,709.64	$15,488.17	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $6,918.31 / $10,964.78	Facility		$616.60	$6,918.31	$10,964.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $512.86	Facility		$66.07	$66.07	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,096.48	Professional		$512.86	$776.25	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,378.01 / $23,988.33 / $45,708.82	Facility		$17,378.01	$23,988.33	$45,708.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $707.95 / $1,000.00	Professional		$331.13	$707.95	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $28,840.32 / $48,977.88	Facility		$8,511.38	$28,840.32	$48,977.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $87.10 / $954.99	Professional		$63.10	$87.10	$954.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $676.08	Professional		$407.38	$478.63	$676.08