Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $7,943.28 / $20,892.96	Facility		$1,778.28	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,630.27	Professional		$851.14	$1,122.02	$2,630.27
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 $1,023.29 / $1,778.28 / $2,884.03	Professional		$1,023.29	$1,778.28	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $15,848.93	Facility		$1,202.26	$2,238.72	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $5,495.41	Professional		$1,174.90	$2,041.74	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $61.66	Professional		$32.36	$33.11	$61.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $1,862.09	Facility		$1,288.25	$1,698.24	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $1,288.25	Facility		$1,258.93	$1,288.25	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $2,691.53	Professional		$1,288.25	$2,137.96	$2,691.53
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 $1,288.25 / $1,778.28 / $2,398.83	Professional		$1,288.25	$1,778.28	$2,398.83
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 $891.25 / $1,348.96 / $2,570.40	Professional		$891.25	$1,348.96	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,737.80	Professional		$912.01	$1,230.27	$1,737.80