Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $20,892.96	Facility		$1,778.28	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,570.40	Professional		$831.76	$1,047.13	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,489.63	Facility		$707.95	$870.96	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,513.56 / $2,884.03	Professional		$891.25	$1,513.56	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $11,481.54	Facility		$977.24	$1,905.46	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $8,912.51	Professional		$891.25	$1,778.28	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $114.82	Professional		$32.36	$33.11	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $1,905.46	Facility		$1,380.38	$1,698.24	$1,905.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,818.38	Facility		$1,288.25	$1,288.25	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,691.53	Professional		$1,288.25	$1,995.26	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,398.83	Professional		$1,318.26	$1,819.70	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,511.89	Professional		$912.01	$1,348.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,778.28	Professional		$933.25	$1,071.52	$1,778.28