Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,456.54 / $18,620.87	Facility		$1,778.28	$6,456.54	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $3,630.78	Professional		$1,071.52	$1,513.56	$3,630.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $4,677.35	Facility		$645.65	$1,122.02	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,801.89	Professional		$1,513.56	$2,041.74	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $9,549.93	Facility		$1,698.24	$2,754.23	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $4,073.80	Professional		$1,698.24	$2,630.27	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,691.53	Facility		$1,949.84	$2,454.71	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,737.80	Facility		$1,698.24	$1,698.24	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,818.38 / $3,715.35	Professional		$1,737.80	$2,818.38	$3,715.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $10,232.93 / $19,498.45	Facility		$6,760.83	$10,232.93	$19,498.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $3,235.94	Professional		$1,479.11	$2,344.23	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,022.64 / $20,417.38	Facility		$2,137.96	$12,022.64	$20,417.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,548.13	Professional		$1,412.54	$1,862.09	$3,548.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,187.76	Professional		$1,148.15	$1,318.26	$2,187.76