Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,943.28 / $20,892.96	Facility		$1,949.84	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $3,388.44	Professional		$977.24	$1,318.26	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $3,162.28	Professional		$1,258.93	$1,995.26	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $9,549.93	Facility		$1,348.96	$2,454.71	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $3,162.28	Professional		$1,318.26	$2,290.87	$3,162.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,089.30	Facility		$1,737.80	$2,041.74	$2,089.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $1,445.44	Facility		$1,412.54	$1,445.44	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,398.83 / $3,090.30	Professional		$1,445.44	$2,398.83	$3,090.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $9,772.37 / $19,054.61	Facility		$6,606.93	$9,772.37	$19,054.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,691.53	Professional		$1,445.44	$2,041.74	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $12,302.69 / $20,892.96	Facility		$1,995.26	$12,302.69	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,698.24 / $3,019.95	Professional		$1,047.13	$1,698.24	$3,019.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,819.70	Professional		$954.99	$1,288.25	$1,819.70