Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $19,952.62	Facility		$2,187.76	$3,548.13	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,801.89	Professional		$1,096.48	$1,584.89	$3,801.89
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 $1,445.44 / $2,630.27 / $4,168.69	Professional		$1,445.44	$2,630.27	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $7,762.47	Facility		$1,513.56	$2,818.38	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $4,365.16	Professional		$1,513.56	$2,754.23	$4,365.16
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 $1,949.84 / $2,754.23 / $3,019.95	Facility		$1,949.84	$2,754.23	$3,019.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $2,089.30	Facility		$2,041.74	$2,089.30	$2,089.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,884.03 / $3,981.07	Professional		$1,621.81	$2,884.03	$3,981.07
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 $1,862.09 / $2,511.89 / $3,548.13	Professional		$1,862.09	$2,511.89	$3,548.13
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 $1,412.54 / $2,041.74 / $4,073.80	Professional		$1,412.54	$2,041.74	$4,073.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $2,344.23	Professional		$1,071.52	$1,659.59	$2,344.23