Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $20,892.96	Facility		$2,570.40	$3,548.13	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,630.78	Professional		$1,258.93	$1,584.89	$3,630.78
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 $1,380.38 / $2,238.72 / $4,168.69	Professional		$1,380.38	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,818.38 / $17,782.79	Facility		$1,348.96	$2,818.38	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,754.23 / $11,748.98	Professional		$1,348.96	$2,754.23	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $89.13	Professional		$32.36	$33.11	$89.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $2,818.38	Facility		$2,137.96	$2,691.53	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,905.46	Facility		$1,862.09	$1,862.09	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $3,981.07	Professional		$1,905.46	$2,951.21	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $70,794.58	Facility		$28,183.83	$36,307.81	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,548.13	Professional		$1,905.46	$2,630.27	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $38,018.94 / $72,443.60	Facility		$4,265.80	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,801.89	Professional		$1,412.54	$2,041.74	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,398.83	Professional		$1,258.93	$1,445.44	$2,398.83