Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $20,892.96	Facility		$2,344.23	$3,162.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,235.94	Professional		$1,096.48	$1,412.54	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,801.89	Professional		$1,202.26	$1,995.26	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $10,000.00	Facility		$1,318.26	$2,511.89	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,454.71 / $6,606.93	Professional		$1,202.26	$2,454.71	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $512.86	Professional		$32.36	$33.11	$512.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,511.89	Facility		$1,819.70	$2,344.23	$2,511.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,630.27 / $3,548.13	Professional		$1,698.24	$2,630.27	$3,548.13
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 $1,698.24 / $2,344.23 / $3,162.28	Professional		$1,698.24	$2,344.23	$3,162.28
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 $1,230.27 / $1,819.70 / $3,388.44	Professional		$1,230.27	$1,819.70	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,137.96	Professional		$1,122.02	$1,288.25	$2,137.96