Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,232.93 / $24,547.09	Facility		$1,905.46	$10,232.93	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $3,715.35	Professional		$912.01	$1,202.26	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $6,918.31	Facility		$1,258.93	$1,949.84	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $3,019.95	Professional		$1,148.15	$1,584.89	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $15,848.93	Facility		$1,348.96	$2,344.23	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $6,309.57	Professional		$1,348.96	$2,187.76	$6,309.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,041.74	Facility		$1,412.54	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,380.38 / $1,995.26	Facility		$1,348.96	$1,380.38	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,951.21	Professional		$1,380.38	$2,290.87	$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 $1,348.96 / $1,905.46 / $2,570.40	Professional		$1,348.96	$1,905.46	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $18,197.01 / $33,884.42	Facility		$2,884.03	$18,197.01	$33,884.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,884.03	Professional		$1,047.13	$1,445.44	$2,884.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,737.80	Professional		$912.01	$1,047.13	$1,737.80