Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,162.28 / $22,908.68	Facility		$1,778.28	$3,162.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,818.38	Professional		$851.14	$1,230.27	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $12,022.64	Facility		$1,380.38	$1,698.24	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,819.70 / $3,548.13	Professional		$954.99	$1,819.70	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $7,585.78	Facility		$1,047.13	$1,819.70	$7,585.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $4,466.84	Professional		$1,047.13	$1,819.70	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $501.19	Professional		$32.36	$33.11	$501.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,454.71	Facility		$1,584.89	$2,137.96	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $2,290.87	Facility		$1,584.89	$1,659.59	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $3,090.30	Professional		$1,348.96	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,884.03	Professional		$1,258.93	$1,995.26	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $17,782.79 / $33,884.42	Facility		$3,467.37	$17,782.79	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,019.95	Professional		$1,071.52	$1,548.82	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,862.09	Professional		$870.96	$1,318.26	$1,862.09