Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $20,892.96	Facility		$1,445.44	$2,238.72	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $2,041.74	Professional		$741.31	$933.25	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,445.44 / $2,344.23	Professional		$933.25	$1,445.44	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $8,317.64	Facility		$1,023.29	$1,819.70	$8,317.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $3,090.30	Professional		$977.24	$1,737.80	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $1,548.82	Facility		$1,288.25	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,071.52	Facility		$1,023.29	$1,071.52	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,290.87	Professional		$1,071.52	$1,737.80	$2,290.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,995.26	Professional		$1,047.13	$1,479.11	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,258.93 / $2,238.72	Professional		$776.25	$1,258.93	$2,238.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,348.96	Professional		$707.95	$954.99	$1,348.96