Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $20,892.96	Facility		$1,737.80	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $2,454.71	Professional		$812.83	$1,047.13	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $8,317.64	Facility		$707.95	$870.96	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,818.38	Professional		$891.25	$1,479.11	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,862.09 / $7,762.47	Facility		$912.01	$1,862.09	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $5,248.07	Professional		$891.25	$1,778.28	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $112.20	Professional		$32.36	$33.11	$112.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $1,862.09	Facility		$1,318.26	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $1,778.28	Facility		$1,230.27	$1,258.93	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,630.27	Professional		$1,258.93	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,344.23	Professional		$1,258.93	$1,737.80	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $33,884.42	Facility		$3,467.37	$17,782.79	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,511.89	Professional		$912.01	$1,348.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,584.89	Professional		$831.76	$954.99	$1,584.89