Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,762.47 / $20,892.96	Facility		$1,778.28	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $2,691.53	Professional		$851.14	$1,288.25	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $3,311.31	Professional		$1,096.48	$2,041.74	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,511.89 / $15,848.93	Facility		$1,230.27	$2,511.89	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,290.87 / $5,495.41	Professional		$1,202.26	$2,290.87	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,187.76	Facility		$1,348.96	$1,949.84	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $3,090.30	Professional		$1,479.11	$2,511.89	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,595.87 / $31,622.78	Facility		$10,964.78	$16,595.87	$31,622.78
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 $1,995.26 / $20,417.38 / $35,481.34	Facility		$1,995.26	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,019.95	Professional		$1,071.52	$1,548.82	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,089.30	Professional		$1,096.48	$1,479.11	$2,089.30