Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,943.28 / $20,892.96	Facility		$2,089.30	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,951.21	Professional		$1,000.00	$1,258.93	$2,951.21
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 $1,096.48 / $1,778.28 / $3,388.44	Professional		$1,096.48	$1,778.28	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $24,547.09	Facility		$1,174.90	$2,238.72	$24,547.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $16,218.10	Professional		$1,122.02	$2,187.76	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $457.09	Professional		$32.36	$33.11	$457.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,238.72	Facility		$1,698.24	$2,137.96	$2,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,513.56	Facility		$1,479.11	$1,479.11	$1,513.56
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 $28,183.83 / $36,307.81 / $70,794.58	Facility		$28,183.83	$36,307.81	$70,794.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,818.38	Professional		$1,513.56	$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 $1,122.02 / $1,659.59 / $3,019.95	Professional		$1,122.02	$1,659.59	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $1,949.84	Professional		$1,023.29	$1,174.90	$1,949.84