Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $20,892.96	Facility		$1,621.81	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,398.83	Professional		$758.58	$1,000.00	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $14,125.38	Facility		$1,000.00	$1,230.27	$14,125.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,570.40	Professional		$831.76	$1,380.38	$2,570.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,737.80 / $8,709.64	Facility		$870.96	$1,737.80	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,659.59 / $6,309.57	Professional		$870.96	$1,659.59	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $389.05	Professional		$32.36	$33.11	$389.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,737.80	Facility		$1,380.38	$1,621.81	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,174.90 / $3,090.30	Facility		$1,148.15	$1,174.90	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,454.71	Professional		$1,174.90	$1,819.70	$2,454.71
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 $1,174.90 / $1,621.81 / $2,187.76	Professional		$1,174.90	$1,621.81	$2,187.76
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 $851.14 / $1,258.93 / $2,344.23	Professional		$851.14	$1,258.93	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,513.56	Professional		$794.33	$912.01	$1,513.56