Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $20,892.96	Facility		$1,819.70	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,691.53	Professional		$870.96	$1,148.15	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $10,000.00	Facility		$891.25	$1,071.52	$10,000.00
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 / $9,549.93	Facility		$977.24	$1,995.26	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,905.46 / $6,309.57	Professional		$977.24	$1,905.46	$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 $1,548.82 / $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 $1,288.25 / $1,348.96 / $2,187.76	Facility		$1,288.25	$1,348.96	$2,187.76
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 $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 $1,318.26 / $1,862.09 / $2,511.89	Professional		$1,318.26	$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 / $2,630.27	Professional		$977.24	$1,445.44	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,698.24	Professional		$891.25	$1,023.29	$1,698.24