Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $20,892.96	Facility		$2,187.76	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $3,162.28	Professional		$1,047.13	$1,348.96	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,071.52 / $4,466.84	Facility		$891.25	$1,071.52	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,630.78	Professional		$1,122.02	$1,905.46	$3,630.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,187.76 / $3,890.45	Facility		$1,148.15	$2,187.76	$3,890.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $3,162.28	Professional		$1,148.15	$2,089.30	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $2,398.83	Facility		$1,819.70	$2,187.76	$2,398.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $3,388.44	Professional		$1,621.81	$2,511.89	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,120.11 / $17,378.01	Facility		$6,165.95	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,019.95	Professional		$1,659.59	$2,238.72	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $11,220.18 / $18,620.87	Facility		$2,454.71	$11,220.18	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $3,162.28	Professional		$1,148.15	$1,698.24	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,137.96	Professional		$1,122.02	$1,288.25	$2,137.96