Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,943.28 / $24,547.09	Facility		$1,737.80	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,454.71	Professional		$831.76	$1,047.13	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,818.38	Professional		$1,096.48	$1,737.80	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $15,848.93	Facility		$1,288.25	$2,238.72	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $5,495.41	Professional		$1,230.27	$2,041.74	$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 $1,513.56 / $1,778.28 / $1,862.09	Facility		$1,513.56	$1,778.28	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,691.53	Professional		$1,258.93	$2,137.96	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $2,398.83	Professional		$1,258.93	$1,819.70	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $2,630.27	Professional		$912.01	$1,445.44	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,584.89	Professional		$831.76	$1,122.02	$1,584.89