Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $9,772.37 / $24,547.09	Facility		$3,019.95	$9,772.37	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $5,128.61	Professional		$1,412.54	$1,949.84	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $6,918.31	Facility		$4,168.69	$4,168.69	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $4,897.79	Professional		$1,862.09	$3,019.95	$4,897.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $15,848.93	Facility		$1,949.84	$3,715.35	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $5,495.41	Professional		$1,949.84	$3,467.37	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $3,235.94	Facility		$2,238.72	$3,090.30	$3,235.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,630.78 / $4,677.35	Professional		$2,187.76	$3,630.78	$4,677.35
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 $2,187.76 / $3,090.30 / $4,073.80	Professional		$2,187.76	$3,090.30	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $20,417.38 / $35,481.34	Facility		$3,467.37	$20,417.38	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,454.71 / $4,570.88	Professional		$1,548.82	$2,454.71	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,818.38	Professional		$1,479.11	$1,995.26	$2,818.38