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 $776.25 / $1,071.52 / $2,398.83	Professional		$776.25	$1,071.52	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $5,011.87	Facility		$1,023.29	$1,023.29	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,630.27	Professional		$794.33	$1,348.96	$2,630.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,137.96 / $10,964.78	Facility		$1,047.13	$2,137.96	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,041.74 / $3,981.07	Professional		$1,047.13	$2,041.74	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $1,698.24	Facility		$1,230.27	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,202.26	Facility		$1,122.02	$1,174.90	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,454.71	Professional		$1,174.90	$1,905.46	$2,454.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $21,877.62	Facility		$8,317.64	$11,481.54	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $2,754.23	Professional		$1,148.15	$1,737.80	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $11,748.98 / $23,442.29	Facility		$1,380.38	$11,748.98	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,344.23	Professional		$870.96	$1,258.93	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,000.00 / $1,412.54	Professional		$112.20	$1,000.00	$1,412.54