Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $7,943.28 / $20,892.96	Facility		$2,137.96	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,818.38	Professional		$954.99	$1,202.26	$2,818.38
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 $1,230.27 / $1,819.70 / $3,467.37	Professional		$1,230.27	$1,819.70	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $9,549.93	Facility		$1,479.11	$2,511.89	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,073.80	Professional		$1,479.11	$2,398.83	$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 $1,584.89 / $2,137.96 / $2,344.23	Facility		$1,584.89	$2,137.96	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,584.89	Facility		$1,548.82	$1,548.82	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,388.44	Professional		$1,584.89	$2,630.27	$3,388.44
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 $1,348.96 / $2,137.96 / $2,951.21	Professional		$1,348.96	$2,137.96	$2,951.21
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 $1,202.26 / $1,621.81 / $3,311.31	Professional		$1,202.26	$1,621.81	$3,311.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,995.26	Professional		$1,047.13	$1,202.26	$1,995.26