Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,025.60 / $18,620.87	Facility		$1,949.84	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,818.38	Professional		$933.25	$1,230.27	$2,818.38
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 $1,148.15 / $1,949.84 / $3,090.30	Professional		$1,148.15	$1,949.84	$3,090.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $15,848.93	Facility		$1,348.96	$2,454.71	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,238.72 / $5,495.41	Professional		$1,318.26	$2,238.72	$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 $1,445.44 / $1,905.46 / $2,041.74	Facility		$1,445.44	$1,905.46	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $2,951.21	Professional		$1,380.38	$2,344.23	$2,951.21
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 $1,412.54 / $1,949.84 / $2,630.27	Professional		$1,412.54	$1,949.84	$2,630.27
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 $954.99 / $1,548.82 / $2,818.38	Professional		$954.99	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70