Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $20,892.96	Facility		$1,737.80	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,454.71	Professional		$831.76	$1,047.13	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $2,818.38	Professional		$912.01	$1,513.56	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $9,549.93	Facility		$977.24	$1,862.09	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,778.28 / $6,309.57	Professional		$954.99	$1,778.28	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $1,862.09	Facility		$1,445.44	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,258.93 / $2,187.76	Facility		$1,230.27	$1,258.93	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,691.53	Professional		$1,258.93	$1,949.84	$2,691.53
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 $1,258.93 / $1,778.28 / $2,344.23	Professional		$1,258.93	$1,778.28	$2,344.23
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 $891.25 / $1,380.38 / $2,511.89	Professional		$891.25	$1,380.38	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81