Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $20,892.96	Facility		$1,778.28	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,174.90 / $2,630.27	Professional		$741.31	$1,174.90	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $3,801.89	Facility		$741.31	$741.31	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $3,019.95	Professional		$891.25	$1,479.11	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $9,549.93	Facility		$1,047.13	$2,041.74	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,949.84 / $3,090.30	Professional		$1,047.13	$1,949.84	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $562.34	Professional		$32.36	$33.11	$562.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $1,949.84	Facility		$1,202.26	$1,698.24	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,445.44	Facility		$1,288.25	$1,318.26	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,187.76 / $2,754.23	Professional		$1,318.26	$2,187.76	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $10,964.78 / $20,892.96	Facility		$7,943.28	$10,964.78	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,884.03	Professional		$1,318.26	$1,949.84	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $12,022.64 / $22,387.21	Facility		$1,698.24	$12,022.64	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $2,511.89	Professional		$891.25	$1,318.26	$2,511.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $1,174.90 / $1,659.59	Professional		$128.82	$1,174.90	$1,659.59