Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $20,892.96	Facility		$1,862.09	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,570.40	Professional		$870.96	$1,122.02	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $13,489.63	Facility		$891.25	$1,071.52	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,951.21	Professional		$954.99	$1,584.89	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,995.26 / $12,022.64	Facility		$977.24	$1,995.26	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $8,511.38	Professional		$977.24	$1,905.46	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,949.84	Facility		$1,548.82	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $3,235.94	Facility		$1,318.26	$1,348.96	$3,235.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,818.38	Professional		$1,348.96	$2,089.30	$2,818.38
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 $1,348.96 / $1,862.09 / $2,511.89	Professional		$1,348.96	$1,862.09	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,691.53	Professional		$977.24	$1,445.44	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $1,698.24	Professional		$891.25	$1,047.13	$1,698.24