Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,943.28 / $20,892.96	Facility		$1,584.89	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $2,187.76	Professional		$741.31	$933.25	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $19,054.61	Facility		$1,000.00	$1,230.27	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,511.89	Professional		$794.33	$1,348.96	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,698.24 / $15,135.61	Facility		$812.83	$1,698.24	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,621.81 / $11,748.98	Professional		$812.83	$1,621.81	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $371.54	Professional		$32.36	$33.11	$371.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $1,659.59	Facility		$1,288.25	$1,584.89	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $4,365.16	Facility		$1,122.02	$1,148.15	$4,365.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,778.28 / $2,398.83	Professional		$1,148.15	$1,778.28	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,137.96	Professional		$1,122.02	$1,584.89	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $38,018.94 / $72,443.60	Facility		$3,467.37	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,290.87	Professional		$831.76	$1,202.26	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,479.11	Professional		$776.25	$891.25	$1,479.11