Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,943.28 / $20,892.96	Facility		$1,905.46	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $3,019.95	Professional		$933.25	$1,230.27	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $3,019.95	Professional		$1,023.29	$1,621.81	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $12,022.64	Facility		$1,148.15	$2,041.74	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,995.26 / $8,128.31	Professional		$1,148.15	$1,995.26	$8,128.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,041.74	Facility		$1,584.89	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,412.54	Facility		$1,380.38	$1,380.38	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $2,951.21	Professional		$1,412.54	$2,187.76	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,570.40	Professional		$1,412.54	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $2,818.38	Professional		$1,047.13	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,862.09	Professional		$977.24	$1,122.02	$1,862.09