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 / $1,380.38 / $3,019.95	Professional		$1,047.13	$1,380.38	$3,019.95
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 $1,148.15 / $1,905.46 / $3,548.13	Professional		$1,148.15	$1,905.46	$3,548.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $12,589.25	Facility		$1,202.26	$2,344.23	$12,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $8,317.64	Professional		$1,202.26	$2,344.23	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $478.63	Professional		$32.36	$33.11	$478.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,344.23	Facility		$1,778.28	$2,290.87	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,621.81	Facility		$1,548.82	$1,548.82	$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 $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 $1,584.89 / $2,187.76 / $3,019.95	Professional		$1,584.89	$2,187.76	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $21,379.62 / $41,686.94	Facility		$4,265.80	$21,379.62	$41,686.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,235.94	Professional		$1,202.26	$1,778.28	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,041.74	Professional		$1,071.52	$1,230.27	$2,041.74