Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $20,892.96	Facility		$1,737.80	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,754.23	Professional		$851.14	$1,202.26	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Facility		$1,380.38	$1,380.38	$2,290.87
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 $1,174.90 / $2,041.74 / $6,309.57	Facility		$1,174.90	$2,041.74	$6,309.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,949.84 / $2,511.89	Professional		$1,174.90	$1,949.84	$2,511.89
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 $1,513.56 / $1,819.70 / $1,862.09	Facility		$1,513.56	$1,819.70	$1,862.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,258.93	Facility		$1,230.27	$1,230.27	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,089.30 / $2,691.53	Professional		$1,258.93	$2,089.30	$2,691.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,025.60 / $10,964.78	Facility		$4,365.16	$6,025.60	$10,964.78
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 / $7,762.47 / $12,882.50	Facility		$2,454.71	$7,762.47	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $2,630.27	Professional		$933.25	$1,513.56	$2,630.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,584.89	Professional		$851.14	$1,148.15	$1,584.89