Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $20,892.96	Facility		$1,862.09	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,630.27	Professional		$891.25	$1,122.02	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $30,902.95	Facility		$891.25	$933.25	$30,902.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $3,019.95	Professional		$977.24	$1,621.81	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,041.74 / $22,908.68	Facility		$1,023.29	$2,041.74	$22,908.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $17,782.79	Professional		$1,023.29	$1,995.26	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $1,995.26	Facility		$1,445.44	$1,905.46	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $6,025.60	Facility		$1,348.96	$1,380.38	$6,025.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,884.03	Professional		$1,380.38	$2,137.96	$2,884.03
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 $1,348.96 / $1,905.46 / $2,570.40	Professional		$1,348.96	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,754.23	Professional		$1,000.00	$1,479.11	$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