Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $14,791.08 / $25,703.96	Facility		$3,388.44	$14,791.08	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $3,981.07	Professional		$2,187.76	$2,511.89	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,412.54 / $4,677.35	Facility		$912.01	$1,412.54	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $8,128.31	Professional		$3,090.30	$4,168.69	$8,128.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,370.32 / $9,549.93	Facility		$3,311.31	$5,370.32	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $6,760.83	Professional		$3,311.31	$5,128.61	$6,760.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $79.43	Professional		$39.81	$50.12	$79.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $5,370.32	Facility		$3,548.13	$5,128.61	$5,370.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $3,630.78	Facility		$1,995.26	$3,548.13	$3,630.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $7,762.47	Professional		$3,630.78	$6,025.60	$7,762.47
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 $3,090.30 / $4,897.79 / $6,918.31	Professional		$3,090.30	$4,897.79	$6,918.31
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 $2,754.23 / $3,801.89 / $7,585.78	Professional		$2,754.23	$3,801.89	$7,585.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71