Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $11,748.98 / $21,877.62	Facility		$1,778.28	$11,748.98	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $257.04	Professional		$154.88	$223.87	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,000.00 / $15,848.93	Facility		$3,019.95	$10,000.00	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $4,365.16 / $6,025.60	Professional		$2,454.71	$4,365.16	$6,025.60
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 $239.88 / $2,398.83 / $3,630.78	Facility		$239.88	$2,398.83	$3,630.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $354.81	Facility		$302.00	$302.00	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $758.58	Professional		$354.81	$537.03	$758.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,220.18 / $21,379.62	Facility		$7,244.36	$11,220.18	$21,379.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $691.83	Professional		$309.03	$478.63	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $13,182.57 / $22,387.21	Facility		$3,311.31	$13,182.57	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $660.69	Professional		$275.42	$354.81	$660.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $512.86	Professional		$309.03	$363.08	$512.86