Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,762.47 / $20,892.96	Facility		$2,511.89	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,311.31	Professional		$1,202.26	$1,548.82	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $13,489.63	Facility		$707.95	$870.96	$13,489.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $4,073.80	Professional		$1,202.26	$2,089.30	$4,073.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $12,022.64	Facility		$1,258.93	$2,754.23	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,691.53 / $8,511.38	Professional		$1,258.93	$2,691.53	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $549.54	Professional		$32.36	$33.11	$549.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $2,691.53	Facility		$1,659.59	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,187.76	Facility		$1,819.70	$1,862.09	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,884.03 / $3,890.45	Professional		$1,862.09	$2,884.03	$3,890.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $20,417.38 / $38,904.51	Facility		$13,803.84	$20,417.38	$38,904.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,467.37	Professional		$1,819.70	$2,570.40	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $21,379.62 / $41,686.94	Facility		$3,467.37	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $3,630.78	Professional		$1,148.15	$1,949.84	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,344.23	Professional		$1,230.27	$1,412.54	$2,344.23