Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $20,892.96	Facility		$1,862.09	$8,912.51	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,691.53	Professional		$891.25	$1,096.48	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $6,918.31	Facility		$1,000.00	$1,230.27	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,513.56 / $2,951.21	Professional		$776.25	$1,513.56	$2,951.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $7,079.46	Facility		$1,096.48	$2,089.30	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $3,715.35	Professional		$954.99	$1,819.70	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $1,995.26	Facility		$1,318.26	$1,819.70	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $4,168.69	Facility		$1,318.26	$1,348.96	$4,168.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,884.03	Professional		$1,348.96	$2,089.30	$2,884.03
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 $1,445.44 / $1,905.46 / $2,454.71	Professional		$1,445.44	$1,905.46	$2,454.71
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 $933.25 / $1,348.96 / $2,511.89	Professional		$933.25	$1,348.96	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,862.09	Professional		$1,000.00	$1,148.15	$1,862.09