Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $7,943.28 / $20,892.96	Facility		$3,548.13	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $7,413.10	Professional		$2,570.40	$3,235.94	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $870.96	Facility		$758.58	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,570.88 / $8,511.38	Professional		$2,818.38	$4,570.88	$8,511.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,495.41 / $12,022.64	Facility		$2,884.03	$5,495.41	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $8,511.38	Professional		$2,884.03	$5,370.32	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,495.41 / $5,754.40	Facility		$4,677.35	$5,495.41	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,890.45	Facility		$3,801.89	$3,801.89	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,025.60 / $8,128.31	Professional		$3,890.45	$6,025.60	$8,128.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $7,244.36	Professional		$3,890.45	$5,370.32	$7,244.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $7,943.28	Professional		$2,884.03	$4,265.80	$7,943.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,786.30	Professional		$2,511.89	$2,884.03	$4,786.30