Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $20,892.96	Facility		$1,548.82	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $2,238.72	Professional		$724.44	$977.24	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,548.82 / $2,511.89	Professional		$891.25	$1,548.82	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $15,848.93	Facility		$1,071.52	$1,949.84	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $5,495.41	Professional		$1,047.13	$1,819.70	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,659.59	Facility		$1,202.26	$1,513.56	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $2,398.83	Professional		$1,122.02	$1,862.09	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,137.96	Professional		$1,122.02	$1,584.89	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,290.87	Professional		$758.58	$1,230.27	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,412.54	Professional		$741.31	$1,000.00	$1,412.54