Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $19,952.62	Facility		$1,412.54	$2,691.53	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,023.29 / $2,344.23	Professional		$691.83	$1,023.29	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $11,220.18	Facility		$1,000.00	$1,230.27	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,412.54 / $2,951.21	Professional		$794.33	$1,412.54	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,513.56 / $7,079.46	Facility		$851.14	$1,513.56	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $4,168.69	Professional		$851.14	$1,513.56	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $588.84	Professional		$32.36	$33.11	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,041.74	Facility		$1,348.96	$1,862.09	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $1,778.28	Facility		$1,348.96	$1,412.54	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $2,570.40	Professional		$1,071.52	$1,819.70	$2,570.40
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 $1,023.29 / $1,621.81 / $2,398.83	Professional		$1,023.29	$1,621.81	$2,398.83
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 $891.25 / $1,288.25 / $2,511.89	Professional		$891.25	$1,288.25	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,122.02 / $1,584.89	Professional		$676.08	$1,122.02	$1,584.89