Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,466.84 / $20,892.96	Facility		$2,818.38	$4,466.84	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,949.84 / $4,466.84	Professional		$1,621.81	$1,949.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $5,370.32	Professional		$1,445.44	$2,818.38	$5,370.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $4,570.88	Facility		$1,819.70	$3,235.94	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $4,570.88	Professional		$1,698.24	$2,884.03	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,445.44	Professional		$32.36	$33.11	$1,445.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $3,630.78	Facility		$2,570.40	$3,467.37	$3,630.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,248.07	Professional		$2,454.71	$3,801.89	$5,248.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Facility		$24,547.09	$24,547.09	$24,547.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,467.37 / $4,570.88	Professional		$2,754.23	$3,467.37	$4,570.88
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,570.88	Professional		$1,698.24	$2,511.89	$4,570.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,162.28	Professional		$1,659.59	$1,905.46	$3,162.28