Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $9,332.54 / $21,877.62	Facility		$2,089.30	$9,332.54	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $3,548.13	Professional		$1,000.00	$1,380.38	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $15,848.93	Facility		$707.95	$758.58	$15,848.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $3,388.44	Professional		$1,096.48	$1,819.70	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $17,782.79	Facility		$1,174.90	$2,238.72	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $11,748.98	Professional		$1,096.48	$2,187.76	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $2,238.72	Facility		$1,778.28	$2,137.96	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $4,365.16	Facility		$1,479.11	$1,513.56	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $3,235.94	Professional		$1,513.56	$2,398.83	$3,235.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,818.38	Professional		$1,513.56	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,018.94 / $72,443.60	Facility		$3,467.37	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $3,019.95	Professional		$1,096.48	$1,659.59	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,949.84	Professional		$1,023.29	$1,202.26	$1,949.84