Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,762.47 / $20,892.96	Facility		$1,659.59	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $2,344.23	Professional		$794.33	$1,000.00	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,290.87 / $25,118.86	Facility		$707.95	$2,290.87	$25,118.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,445.44 / $2,691.53	Professional		$851.14	$1,445.44	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,819.70 / $21,877.62	Facility		$933.25	$1,819.70	$21,877.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,737.80 / $16,982.44	Professional		$870.96	$1,737.80	$16,982.44
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 $1,412.54 / $1,698.24 / $1,778.28	Facility		$1,412.54	$1,698.24	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $5,623.41	Facility		$1,174.90	$1,202.26	$5,623.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,570.40	Professional		$1,202.26	$1,905.46	$2,570.40
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 $1,202.26 / $1,698.24 / $2,238.72	Professional		$1,202.26	$1,698.24	$2,238.72
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 $891.25 / $1,288.25 / $2,398.83	Professional		$891.25	$1,288.25	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,548.82	Professional		$831.76	$954.99	$1,548.82