Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,691.53 / $20,892.96	Facility		$1,698.24	$2,691.53	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,148.15 / $2,884.03	Professional		$912.01	$1,148.15	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,691.53	Professional		$1,122.02	$1,819.70	$2,691.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $13,803.84	Facility		$1,412.54	$2,238.72	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,388.44	Professional		$1,412.54	$1,995.26	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,737.80 / $1,862.09	Facility		$1,513.56	$1,737.80	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,691.53	Professional		$1,258.93	$2,089.30	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,120.11 / $17,378.01	Facility		$6,918.31	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,454.71	Professional		$1,288.25	$1,819.70	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,570.40	Professional		$977.24	$1,445.44	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,584.89	Professional		$954.99	$1,122.02	$1,584.89