Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $20,892.96	Facility		$4,168.69	$8,317.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $8,128.31	Professional		$2,884.03	$3,715.35	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $870.96	Facility		$707.95	$758.58	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,370.32 / $10,000.00	Professional		$2,951.21	$5,370.32	$10,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,888.44 / $12,022.64	Facility		$3,162.28	$5,888.44	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,754.40 / $8,912.51	Professional		$3,162.28	$5,754.40	$8,912.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,318.26	Professional		$32.36	$33.11	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $6,606.93	Facility		$4,786.30	$6,309.57	$6,606.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $9,549.93	Professional		$4,466.84	$6,918.31	$9,549.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $18,620.87 / $35,481.34	Facility		$14,125.38	$18,620.87	$35,481.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,309.57 / $8,317.64	Professional		$4,570.88	$6,309.57	$8,317.64
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 $2,951.21 / $4,897.79 / $9,120.11	Professional		$2,951.21	$4,897.79	$9,120.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,388.44 / $5,623.41	Professional		$2,951.21	$3,388.44	$5,623.41