Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,128.31 / $20,892.96	Facility		$1,862.09	$8,128.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,691.53	Professional		$891.25	$1,230.27	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $8,317.64	Facility		$707.95	$1,995.26	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $3,019.95	Professional		$954.99	$1,584.89	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $9,549.93	Facility		$1,023.29	$1,995.26	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $6,309.57	Professional		$977.24	$1,949.84	$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 $1,621.81 / $1,905.46 / $1,995.26	Facility		$1,621.81	$1,905.46	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $2,187.76	Facility		$1,318.26	$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 $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 $1,000.00 / $1,479.11 / $2,691.53	Professional		$1,000.00	$1,479.11	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,698.24	Professional		$912.01	$1,047.13	$1,698.24