Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,025.60 / $18,620.87	Facility		$1,737.80	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,691.53	Professional		$870.96	$1,148.15	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,025.60	Facility		$3,548.13	$3,548.13	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,754.23	Professional		$1,122.02	$1,737.80	$2,754.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $13,182.57	Facility		$1,230.27	$2,187.76	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $4,897.79	Professional		$1,174.90	$2,089.30	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $58.88	Professional		$32.36	$33.11	$58.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $1,862.09	Facility		$1,548.82	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,288.25	Facility		$1,230.27	$1,288.25	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,754.23	Professional		$1,288.25	$2,089.30	$2,754.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $28,183.83	Facility		$9,772.37	$14,791.08	$28,183.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,398.83	Professional		$1,258.93	$1,778.28	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $18,620.87 / $32,359.37	Facility		$2,454.71	$18,620.87	$32,359.37
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,691.53	Professional		$933.25	$1,513.56	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,584.89	Professional		$831.76	$1,148.15	$1,584.89