Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,943.28 / $20,892.96	Facility		$1,548.82	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $2,187.76	Professional		$724.44	$1,000.00	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $3,801.89	Facility		$912.01	$912.01	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $2,511.89	Professional		$758.58	$1,288.25	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,905.46 / $9,549.93	Facility		$954.99	$1,905.46	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $3,090.30	Professional		$954.99	$1,819.70	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,621.81	Facility		$1,096.48	$1,479.11	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,096.48	Facility		$1,071.52	$1,071.52	$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 $7,244.36 / $10,964.78 / $20,892.96	Facility		$7,244.36	$10,964.78	$20,892.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,454.71	Professional		$1,096.48	$1,659.59	$2,454.71
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 $794.33 / $1,148.15 / $2,187.76	Professional		$794.33	$1,148.15	$2,187.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $977.24 / $1,380.38	Professional		$107.15	$977.24	$1,380.38