Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,943.28 / $21,877.62	Facility		$1,445.44	$7,943.28	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,949.84	Professional		$691.83	$912.01	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,489.63	Facility		$707.95	$870.96	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,344.23	Professional		$741.31	$1,230.27	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,548.82 / $12,302.69	Facility		$794.33	$1,548.82	$12,302.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,513.56 / $8,511.38	Professional		$741.31	$1,513.56	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $346.74	Professional		$32.36	$33.11	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $1,548.82	Facility		$1,148.15	$1,445.44	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $2,818.38	Facility		$1,023.29	$1,047.13	$2,818.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,187.76	Professional		$1,047.13	$1,621.81	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,949.84	Professional		$1,047.13	$1,445.44	$1,949.84
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 $758.58 / $1,122.02 / $2,089.30	Professional		$758.58	$1,122.02	$2,089.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,348.96	Professional		$724.44	$831.76	$1,348.96