Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $14,791.08 / $25,703.96	Facility		$2,570.40	$14,791.08	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,951.21	Professional		$741.31	$1,230.27	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $10,000.00	Facility		$707.95	$870.96	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $4,365.16	Professional		$1,318.26	$2,511.89	$4,365.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,467.37 / $19,952.62	Facility		$1,479.11	$3,467.37	$19,952.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $7,244.36	Professional		$1,348.96	$3,162.28	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $50.12	Professional		$44.67	$50.12	$50.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $2,691.53	Facility		$1,862.09	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,819.70 / $2,187.76	Facility		$1,659.59	$1,819.70	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,801.89	Professional		$1,819.70	$2,818.38	$3,801.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $38,904.51	Facility		$14,791.08	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,388.44	Professional		$1,698.24	$2,454.71	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,778.28 / $3,388.44	Professional		$933.25	$1,778.28	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48