Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $20,892.96	Facility		$2,818.38	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $4,168.69	Professional		$1,445.44	$2,041.74	$4,168.69
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 $1,862.09 / $3,162.28 / $5,128.61	Professional		$1,862.09	$3,162.28	$5,128.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,801.89 / $15,848.93	Facility		$2,041.74	$3,801.89	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,548.13 / $5,495.41	Professional		$1,995.26	$3,548.13	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,388.44	Facility		$2,570.40	$3,311.31	$3,388.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,890.45 / $4,897.79	Professional		$2,290.87	$3,890.45	$4,897.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,595.87 / $31,622.78	Facility		$12,022.64	$16,595.87	$31,622.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $4,365.16	Professional		$2,344.23	$3,311.31	$4,365.16
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 / $2,630.27 / $4,786.30	Professional		$1,548.82	$2,630.27	$4,786.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03