Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,677.35 / $18,620.87	Facility		$1,584.89	$4,677.35	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $2,344.23	Professional		$776.25	$1,023.29	$2,344.23
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 $977.24 / $1,584.89 / $2,570.40	Professional		$977.24	$1,584.89	$2,570.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $15,848.93	Facility		$1,122.02	$2,041.74	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,819.70 / $5,495.41	Professional		$1,071.52	$1,819.70	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $1,698.24	Facility		$1,318.26	$1,584.89	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,148.15	Facility		$1,122.02	$1,148.15	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,454.71	Professional		$1,148.15	$1,905.46	$2,454.71
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 $1,148.15 / $1,621.81 / $2,187.76	Professional		$1,148.15	$1,621.81	$2,187.76
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 $812.83 / $1,288.25 / $2,344.23	Professional		$812.83	$1,288.25	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,412.54	Professional		$758.58	$1,023.29	$1,412.54