Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $20,892.96	Facility		$1,949.84	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $2,511.89	Professional		$851.14	$1,148.15	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,288.25 / $4,677.35	Facility		$794.33	$1,288.25	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,162.28	Professional		$1,148.15	$1,659.59	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $9,549.93	Facility		$1,380.38	$2,398.83	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $4,073.80	Professional		$1,380.38	$2,238.72	$4,073.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,137.96	Facility		$1,412.54	$1,949.84	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,162.28	Professional		$1,445.44	$2,290.87	$3,162.28
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 $1,230.27 / $1,949.84 / $2,691.53	Professional		$1,230.27	$1,949.84	$2,691.53
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 $1,047.13 / $1,445.44 / $2,951.21	Professional		$1,047.13	$1,445.44	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,122.02 / $1,862.09	Professional		$141.25	$1,122.02	$1,862.09