Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,943.28 / $22,908.68	Facility		$2,884.03	$7,943.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,168.69	Professional		$1,412.54	$1,819.70	$4,168.69
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 $1,513.56 / $2,570.40 / $4,786.30	Professional		$1,513.56	$2,570.40	$4,786.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,235.94 / $24,547.09	Facility		$1,584.89	$3,235.94	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $16,218.10	Professional		$1,584.89	$3,162.28	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $645.65	Professional		$32.36	$33.11	$645.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $3,235.94	Facility		$2,187.76	$3,019.95	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,187.76	Facility		$2,137.96	$2,137.96	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $4,570.88	Professional		$2,187.76	$3,388.44	$4,570.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,307.81 / $46,773.51 / $91,201.08	Facility		$36,307.81	$46,773.51	$91,201.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,073.80	Professional		$2,187.76	$3,019.95	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $38,018.94 / $72,443.60	Facility		$6,309.57	$38,018.94	$72,443.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $4,466.84	Professional		$1,584.89	$2,398.83	$4,466.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,691.53	Professional		$1,445.44	$1,659.59	$2,691.53