Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,232.93 / $28,840.32	Facility		$1,737.80	$10,232.93	$28,840.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $2,884.03	Professional		$831.76	$1,071.52	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $8,317.64	Facility		$1,000.00	$1,230.27	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,445.44 / $2,818.38	Professional		$724.44	$1,445.44	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $7,079.46	Facility		$1,047.13	$1,949.84	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,737.80 / $3,715.35	Professional		$891.25	$1,737.80	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $416.87	Professional		$32.36	$33.11	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,862.09	Facility		$1,288.25	$1,698.24	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $4,168.69	Facility		$1,258.93	$1,258.93	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,754.23	Professional		$1,258.93	$1,949.84	$2,754.23
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 $1,380.38 / $1,778.28 / $2,344.23	Professional		$1,380.38	$1,778.28	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,378.01 / $33,113.11	Facility		$2,884.03	$17,378.01	$33,113.11
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,398.83	Professional		$851.14	$1,288.25	$2,398.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,621.81	Professional		$851.14	$977.24	$1,621.81