Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $7,943.28 / $20,892.96	Facility		$1,621.81	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,137.96	Professional		$691.83	$933.25	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,621.81 / $2,570.40	Professional		$1,000.00	$1,621.81	$2,570.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $8,511.38	Facility		$1,148.15	$2,041.74	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,162.28	Professional		$1,096.48	$1,862.09	$3,162.28
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 / $1,659.59 / $1,737.80	Facility		$1,288.25	$1,659.59	$1,737.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,511.89	Professional		$1,174.90	$1,949.84	$2,511.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $8,912.51 / $16,982.44	Facility		$6,456.54	$8,912.51	$16,982.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,238.72	Professional		$1,174.90	$1,659.59	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,220.18 / $19,498.45	Facility		$1,995.26	$11,220.18	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,380.38 / $2,454.71	Professional		$831.76	$1,380.38	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,445.44	Professional		$758.58	$1,023.29	$1,445.44