Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,943.28 / $20,892.96	Facility		$1,995.26	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,818.38	Professional		$954.99	$1,202.26	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $19,054.61	Facility		$891.25	$1,071.52	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,737.80 / $3,235.94	Professional		$1,000.00	$1,737.80	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $15,135.61	Facility		$1,148.15	$2,137.96	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $11,748.98	Professional		$1,071.52	$2,137.96	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,137.96	Facility		$1,698.24	$2,041.74	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $4,365.16	Facility		$1,412.54	$1,479.11	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,090.30	Professional		$1,479.11	$2,290.87	$3,090.30
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 $1,445.44 / $2,041.74 / $2,691.53	Professional		$1,445.44	$2,041.74	$2,691.53
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 $1,071.52 / $1,584.89 / $2,884.03	Professional		$1,071.52	$1,584.89	$2,884.03
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