Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $8,912.51 / $20,892.96	Facility		$1,412.54	$8,912.51	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,949.84	Professional		$660.69	$870.96	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,202.26 / $2,238.72	Professional		$724.44	$1,202.26	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,513.56 / $10,715.19	Facility		$741.31	$1,513.56	$10,715.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,445.44 / $8,709.64	Professional		$741.31	$1,445.44	$8,709.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $302.00	Professional		$32.36	$33.11	$302.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,479.11	Facility		$1,148.15	$1,412.54	$1,479.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,023.29	Facility		$1,000.00	$1,000.00	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,137.96	Professional		$1,023.29	$1,584.89	$2,137.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $20,892.96 / $38,904.51	Facility		$15,488.17	$20,892.96	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,905.46	Professional		$1,000.00	$1,412.54	$1,905.46
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 $741.31 / $1,096.48 / $1,995.26	Professional		$741.31	$1,096.48	$1,995.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $794.33 / $1,318.26	Professional		$691.83	$794.33	$1,318.26