Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $20,892.96	Facility		$1,737.80	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $741.31	Professional		$138.04	$181.97	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $10,964.78	Facility		$6,606.93	$6,606.93	$10,964.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $15,135.61 / $28,840.32	Facility		$5,888.44	$15,135.61	$28,840.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $11,481.54 / $16,595.87	Professional		$7,585.78	$11,481.54	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $64.57	Professional		$44.67	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $5,248.07 / $8,317.64	Facility		$229.09	$5,248.07	$8,317.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $281.84 / $281.84	Facility		$223.87	$281.84	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $676.08	Professional		$281.84	$416.87	$676.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $36,307.81	Facility		$12,882.50	$19,054.61	$36,307.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $602.56	Professional		$229.09	$380.19	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $30,199.52 / $52,480.75	Facility		$3,467.37	$30,199.52	$52,480.75
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $288.40 / $707.95	Professional		$208.93	$288.40	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $363.08	Professional		$120.23	$229.09	$363.08