Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $20,892.96	Facility		$2,041.74	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,884.03	Professional		$933.25	$1,318.26	$2,884.03
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 $1,202.26 / $2,089.30 / $3,388.44	Professional		$1,202.26	$2,089.30	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $15,848.93	Facility		$1,412.54	$2,630.27	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $5,495.41	Professional		$1,348.96	$2,398.83	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,187.76	Facility		$1,479.11	$1,995.26	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,513.56	Facility		$1,479.11	$1,513.56	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $3,162.28	Professional		$1,513.56	$2,511.89	$3,162.28
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 $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 $1,000.00 / $1,584.89 / $3,090.30	Professional		$1,000.00	$1,584.89	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,905.46	Professional		$1,000.00	$1,348.96	$1,905.46