Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,762.47 / $20,892.96	Facility		$1,862.09	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,511.89	Professional		$912.01	$1,202.26	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $4,466.84	Facility		$707.95	$870.96	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $3,019.95	Professional		$912.01	$1,621.81	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $4,265.80	Facility		$1,000.00	$1,949.84	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,905.46 / $2,951.21	Professional		$1,000.00	$1,905.46	$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 $1,445.44 / $1,949.84 / $1,995.26	Facility		$1,445.44	$1,949.84	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Facility		$1,318.26	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,884.03	Professional		$1,348.96	$2,089.30	$2,884.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,120.11 / $17,378.01	Facility		$6,760.83	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $2,570.40	Professional		$1,348.96	$1,862.09	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,754.23	Professional		$1,023.29	$1,513.56	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,737.80	Professional		$912.01	$1,047.13	$1,737.80