Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $20,892.96	Facility		$1,548.82	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $2,344.23	Professional		$724.44	$933.25	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,511.89	Professional		$954.99	$1,548.82	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $13,803.84	Facility		$1,096.48	$1,995.26	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $4,168.69	Professional		$1,071.52	$1,819.70	$4,168.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,659.59	Facility		$1,258.93	$1,584.89	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,148.15	Facility		$1,122.02	$1,122.02	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,398.83	Professional		$1,148.15	$1,905.46	$2,398.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $14,125.38 / $26,915.35	Facility		$9,549.93	$14,125.38	$26,915.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $2,137.96	Professional		$1,148.15	$1,621.81	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $17,378.01 / $30,199.52	Facility		$2,454.71	$17,378.01	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,344.23	Professional		$794.33	$1,318.26	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38