Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $20,892.96	Facility		$2,041.74	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,884.03	Professional		$977.24	$1,258.93	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $25,703.96	Facility		$1,000.00	$1,230.27	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $3,311.31	Professional		$1,071.52	$1,778.28	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $21,379.62	Facility		$1,122.02	$2,238.72	$21,379.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,137.96 / $16,595.87	Professional		$1,122.02	$2,137.96	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $489.78	Professional		$32.36	$33.11	$489.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,187.76	Facility		$1,698.24	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $6,606.93	Facility		$1,479.11	$1,513.56	$6,606.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,162.28	Professional		$1,513.56	$2,344.23	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $37,153.52 / $70,794.58	Facility		$26,915.35	$37,153.52	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,818.38	Professional		$1,479.11	$2,089.30	$2,818.38
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 $1,096.48 / $1,621.81 / $3,019.95	Professional		$1,096.48	$1,621.81	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,905.46	Professional		$1,000.00	$1,148.15	$1,905.46