Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,715.19 / $21,877.62	Facility		$1,905.46	$10,715.19	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $1,698.24	Professional		$891.25	$1,071.52	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $2,344.23	Facility		$645.65	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,388.44	Professional		$1,288.25	$1,737.80	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $5,623.41	Facility		$1,412.54	$2,344.23	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $2,951.21	Professional		$1,412.54	$2,290.87	$2,951.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $75.86	Professional		$44.67	$50.12	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $2,238.72	Facility		$1,479.11	$2,187.76	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $1,548.82	Facility		$1,071.52	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,511.89 / $3,311.31	Professional		$1,548.82	$2,511.89	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $10,000.00	Facility		$3,801.89	$5,128.61	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,951.21	Professional		$1,318.26	$2,089.30	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,918.31 / $11,748.98	Facility		$1,047.13	$6,918.31	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,235.94	Professional		$1,174.90	$1,584.89	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29