Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $13,182.57 / $21,877.62	Facility		$1,949.84	$13,182.57	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,905.46	Professional		$954.99	$1,096.48	$1,905.46
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 / $1,778.28 / $3,311.31	Professional		$1,023.29	$1,778.28	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $24,547.09	Facility		$1,047.13	$2,238.72	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $16,218.10	Professional		$1,047.13	$2,089.30	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $398.11 / $794.33	Professional		$43.65	$398.11	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,187.76	Facility		$1,513.56	$2,137.96	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,513.56	Facility		$1,445.44	$1,445.44	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,162.28	Professional		$1,513.56	$2,344.23	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $70,794.58	Facility		$28,183.83	$36,307.81	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,818.38	Professional		$1,479.11	$2,041.74	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $3,019.95	Professional		$1,071.52	$1,621.81	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38