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 $758.58 / $1,047.13 / $2,344.23	Professional		$758.58	$1,047.13	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,801.89	Facility		$2,238.72	$2,238.72	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $2,691.53	Professional		$977.24	$1,659.59	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $8,912.51	Facility		$1,148.15	$2,041.74	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,951.21	Professional		$1,122.02	$1,905.46	$2,951.21
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 / $1,621.81 / $1,778.28	Facility		$1,202.26	$1,621.81	$1,778.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,202.26	Facility		$1,174.90	$1,202.26	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $2,511.89	Professional		$1,202.26	$1,995.26	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
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 $2,454.71 / $11,748.98 / $19,054.61	Facility		$2,454.71	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,318.26 / $2,454.71	Professional		$812.83	$1,318.26	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,479.11	Professional		$794.33	$1,071.52	$1,479.11