Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,943.28 / $20,892.96	Facility		$1,445.44	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $2,089.30	Professional		$707.95	$891.25	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $8,317.64	Facility		$1,000.00	$1,230.27	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,258.93 / $2,344.23	Professional		$724.44	$1,258.93	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,584.89 / $6,760.83	Facility		$912.01	$1,584.89	$6,760.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $5,248.07	Professional		$831.76	$1,479.11	$5,248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,621.81	Facility		$1,174.90	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,778.28	Facility		$1,023.29	$1,047.13	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,187.76	Professional		$1,047.13	$1,621.81	$2,187.76
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 $1,047.13 / $1,445.44 / $1,949.84	Professional		$1,047.13	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $17,378.01 / $33,884.42	Facility		$1,995.26	$17,378.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,041.74	Professional		$794.33	$1,148.15	$2,041.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,348.96	Professional		$707.95	$812.83	$1,348.96