Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $18,620.87	Facility		$1,949.84	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,691.53	Professional		$954.99	$1,202.26	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,818.38	Facility		$1,698.24	$1,698.24	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,162.28	Professional		$1,258.93	$1,949.84	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $7,762.47	Facility		$1,318.26	$2,290.87	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $2,884.03	Professional		$1,318.26	$2,238.72	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,995.26 / $2,137.96	Facility		$1,737.80	$1,995.26	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,445.44	Facility		$1,412.54	$1,412.54	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,090.30	Professional		$1,445.44	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $15,488.17	Facility		$5,370.32	$8,128.31	$15,488.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,691.53	Professional		$1,445.44	$2,089.30	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $10,000.00 / $17,378.01	Facility		$1,698.24	$10,000.00	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $3,019.95	Professional		$1,023.29	$1,659.59	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09