Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $20,892.96	Facility		$1,698.24	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,398.83	Professional		$812.83	$1,023.29	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,290.87	Facility		$1,995.26	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,754.23	Professional		$870.96	$1,479.11	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $12,302.69	Facility		$933.25	$1,819.70	$12,302.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,778.28 / $8,128.31	Professional		$891.25	$1,778.28	$8,128.31
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 $1,445.44 / $1,698.24 / $1,819.70	Facility		$1,445.44	$1,698.24	$1,819.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,230.27	Facility		$1,202.26	$1,202.26	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,630.27	Professional		$1,230.27	$1,905.46	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,290.87	Professional		$1,230.27	$1,737.80	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $2,454.71	Professional		$891.25	$1,348.96	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,584.89	Professional		$831.76	$954.99	$1,584.89