Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $10,232.93 / $28,183.83	Facility		$2,344.23	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,238.72 / $2,951.21	Professional		$977.24	$2,238.72	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,479.11 / $13,182.57	Facility		$707.95	$1,479.11	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,818.38	Professional		$2,344.23	$2,344.23	$2,818.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $8,709.64 / $29,512.09	Facility		$5,623.41	$8,709.64	$29,512.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $8,511.38 / $12,302.69	Professional		$5,495.41	$8,511.38	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $64.57	Professional		$33.11	$50.12	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,981.07 / $7,762.47	Facility		$1,230.27	$3,981.07	$7,762.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $3,311.31	Facility		$2,691.53	$2,818.38	$3,311.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,981.07 / $5,623.41	Professional		$2,691.53	$3,981.07	$5,623.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $5,011.87	Professional		$2,691.53	$3,630.78	$5,011.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $21,379.62 / $41,686.94	Facility		$2,454.71	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $2,187.76 / $4,570.88	Professional		$691.83	$2,187.76	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $3,467.37	Professional		$1,819.70	$2,089.30	$3,467.37