Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,025.60 / $18,620.87	Facility		$1,479.11	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,290.87	Professional		$758.58	$977.24	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $2,398.83	Professional		$954.99	$1,479.11	$2,398.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $13,182.57	Facility		$1,047.13	$1,862.09	$13,182.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $4,897.79	Professional		$1,000.00	$1,778.28	$4,897.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $1,584.89	Facility		$1,288.25	$1,548.82	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Facility		$1,047.13	$1,096.48	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,344.23	Professional		$1,096.48	$1,778.28	$2,344.23
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 $1,071.52 / $1,513.56 / $2,041.74	Professional		$1,071.52	$1,513.56	$2,041.74
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 $794.33 / $1,288.25 / $2,290.87	Professional		$794.33	$1,288.25	$2,290.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,380.38	Professional		$724.44	$977.24	$1,380.38