Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,943.28 / $20,892.96	Facility		$1,995.26	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,884.03	Professional		$954.99	$1,202.26	$2,884.03
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 $1,000.00 / $1,698.24 / $3,162.28	Professional		$1,000.00	$1,698.24	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $10,000.00	Facility		$1,202.26	$2,137.96	$10,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $6,606.93	Professional		$1,122.02	$1,995.26	$6,606.93
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 / $2,041.74 / $2,187.76	Facility		$1,584.89	$2,041.74	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $3,019.95	Professional		$1,412.54	$2,238.72	$3,019.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $16,595.87 / $31,622.78	Facility		$12,589.25	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $2,630.27	Professional		$1,445.44	$1,995.26	$2,630.27
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 $1,096.48 / $1,548.82 / $2,754.23	Professional		$1,096.48	$1,548.82	$2,754.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,819.70	Professional		$954.99	$1,096.48	$1,819.70