Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $8,128.31 / $28,183.83	Facility		$1,479.11	$8,128.31	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $2,398.83	Professional		$645.65	$870.96	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,344.23	Professional		$912.01	$1,479.11	$2,344.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $15,488.17	Facility		$1,047.13	$1,862.09	$15,488.17
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 $1,122.02 / $1,513.56 / $1,621.81	Facility		$1,122.02	$1,513.56	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,096.48	Facility		$1,071.52	$1,096.48	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,819.70 / $2,344.23	Professional		$1,096.48	$1,819.70	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $16,218.10 / $31,622.78	Facility		$10,715.19	$16,218.10	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,089.30	Professional		$1,096.48	$1,548.82	$2,089.30
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 / $2,290.87	Professional		$758.58	$1,230.27	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,318.26	Professional		$691.83	$933.25	$1,318.26