Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $20,892.96	Facility		$1,949.84	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,754.23	Professional		$933.25	$1,174.90	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $3,162.28	Professional		$1,023.29	$1,659.59	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,089.30 / $9,549.93	Facility		$1,071.52	$2,089.30	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $6,309.57	Professional		$1,047.13	$2,041.74	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $426.58	Professional		$32.36	$33.11	$426.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,089.30	Facility		$1,548.82	$1,949.84	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $2,187.76	Facility		$1,380.38	$1,412.54	$2,187.76
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 $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,630.27	Professional		$1,412.54	$1,949.84	$2,630.27
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 $954.99 / $1,096.48 / $1,819.70	Professional		$954.99	$1,096.48	$1,819.70