Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $7,943.28 / $22,908.68	Facility		$2,290.87	$7,943.28	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,715.35	Professional		$1,148.15	$1,584.89	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,715.35	Professional		$1,479.11	$2,290.87	$3,715.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $13,803.84	Facility		$1,905.46	$2,884.03	$13,803.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $3,715.35	Professional		$1,905.46	$2,691.53	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $77.62	Professional		$32.36	$33.11	$77.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,454.71	Facility		$1,778.28	$2,398.83	$2,454.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,698.24	Facility		$1,659.59	$1,659.59	$1,698.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,754.23 / $3,630.78	Professional		$1,698.24	$2,754.23	$3,630.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $9,120.11 / $17,378.01	Facility		$6,309.57	$9,120.11	$17,378.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,311.31	Professional		$1,698.24	$2,454.71	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $11,748.98 / $19,054.61	Facility		$3,311.31	$11,748.98	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,388.44	Professional		$1,318.26	$1,862.09	$3,388.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,041.74	Professional		$1,230.27	$1,445.44	$2,041.74