Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $21,877.62	Facility		$1,778.28	$7,762.47	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,388.44	Professional		$1,096.48	$1,412.54	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $23,988.33	Facility		$707.95	$870.96	$23,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,715.35	Professional		$1,202.26	$1,995.26	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $22,387.21	Facility		$1,288.25	$2,511.89	$22,387.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $16,982.44	Professional		$1,230.27	$2,398.83	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,454.71	Facility		$1,737.80	$2,344.23	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $6,025.60	Facility		$1,659.59	$1,698.24	$6,025.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,548.13	Professional		$1,698.24	$2,630.27	$3,548.13
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 $1,659.59 / $2,344.23 / $3,162.28	Professional		$1,659.59	$2,344.23	$3,162.28
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 $1,230.27 / $1,819.70 / $3,388.44	Professional		$1,230.27	$1,819.70	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,137.96	Professional		$1,122.02	$1,318.26	$2,137.96