Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $11,481.54 / $26,302.68	Facility		$1,412.54	$11,481.54	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,511.89	Professional		$724.44	$1,000.00	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $6,760.83	Facility		$4,073.80	$4,073.80	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,238.72	Professional		$912.01	$1,412.54	$2,238.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $15,848.93	Facility		$1,071.52	$1,819.70	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $5,495.41	Professional		$1,000.00	$1,698.24	$5,495.41
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 $1,202.26 / $1,479.11 / $1,548.82	Facility		$1,202.26	$1,479.11	$1,548.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,023.29	Facility		$1,000.00	$1,023.29	$1,023.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $2,187.76	Professional		$1,023.29	$1,698.24	$2,187.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $31,622.78	Facility		$12,022.64	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,949.84	Professional		$1,023.29	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $20,892.96 / $36,307.81	Facility		$4,265.80	$20,892.96	$36,307.81
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $2,137.96	Professional		$758.58	$1,230.27	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,288.25	Professional		$676.08	$912.01	$1,288.25