Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $10,964.78 / $22,908.68	Facility		$1,445.44	$10,964.78	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $4,677.35 / $11,220.18	Professional		$776.25	$4,677.35	$11,220.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $16,218.10	Facility		$9,772.37	$9,772.37	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $16,218.10	Professional		$1,023.29	$2,511.89	$16,218.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $8,912.51 / $19,498.45	Facility		$1,202.26	$8,912.51	$19,498.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $8,511.38 / $16,982.44	Professional		$1,258.93	$8,511.38	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,715.19 / $13,489.63	Facility		$7,079.46	$10,715.19	$13,489.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $8,128.31	Facility		$7,762.47	$7,762.47	$8,128.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,630.27 / $15,135.61	Professional		$1,047.13	$2,630.27	$15,135.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $26,302.68 / $50,118.72	Facility		$19,054.61	$26,302.68	$50,118.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,454.71 / $14,125.38	Professional		$1,174.90	$2,454.71	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $32,359.37 / $56,234.13	Facility		$6,309.57	$32,359.37	$56,234.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $15,135.61	Professional		$1,000.00	$2,570.40	$15,135.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,318.26 / $8,317.64	Professional		$691.83	$1,318.26	$8,317.64