Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,762.47 / $20,892.96	Facility		$1,905.46	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,090.30	Professional		$1,000.00	$1,288.25	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,122.02 / $6,918.31	Facility		$645.65	$1,122.02	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,235.94	Professional		$1,230.27	$1,698.24	$3,235.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $15,848.93	Facility		$1,479.11	$2,454.71	$15,848.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $6,309.57	Professional		$1,479.11	$2,344.23	$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 $1,584.89 / $2,089.30 / $2,187.76	Facility		$1,584.89	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,995.26	Facility		$1,445.44	$1,479.11	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,162.28	Professional		$1,479.11	$2,454.71	$3,162.28
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 $1,445.44 / $2,041.74 / $2,754.23	Professional		$1,445.44	$2,041.74	$2,754.23
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 $1,148.15 / $1,548.82 / $3,090.30	Professional		$1,148.15	$1,548.82	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,819.70	Professional		$954.99	$1,122.02	$1,819.70