Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $20,892.96	Facility		$1,819.70	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,570.40	Professional		$870.96	$1,096.48	$2,570.40
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 $891.25 / $1,584.89 / $2,951.21	Professional		$891.25	$1,584.89	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,905.46 / $4,265.80	Facility		$933.25	$1,905.46	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,862.09 / $2,951.21	Professional		$933.25	$1,862.09	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $398.11	Professional		$32.36	$33.11	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $1,949.84	Facility		$1,513.56	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,318.26	Facility		$1,288.25	$1,288.25	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $2,818.38	Professional		$1,318.26	$2,041.74	$2,818.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $46,773.51 / $91,201.08	Facility		$36,307.81	$46,773.51	$91,201.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,454.71	Professional		$1,318.26	$1,819.70	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $12,022.64 / $23,988.33	Facility		$6,309.57	$12,022.64	$23,988.33
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,630.27	Professional		$977.24	$1,412.54	$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