Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $7,762.47 / $20,892.96	Facility		$2,089.30	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,951.21	Professional		$1,000.00	$1,288.25	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,187.76	Facility		$1,318.26	$1,318.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $3,388.44	Professional		$1,348.96	$2,089.30	$3,388.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $5,370.32	Facility		$1,380.38	$2,344.23	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,884.03	Professional		$1,380.38	$2,290.87	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,290.87	Facility		$1,659.59	$2,137.96	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,584.89	Facility		$1,513.56	$1,513.56	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $3,388.44	Professional		$1,584.89	$2,570.40	$3,388.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $10,471.29	Facility		$3,715.35	$5,495.41	$10,471.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $2,951.21	Professional		$1,548.82	$2,187.76	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $7,244.36 / $11,748.98	Facility		$1,995.26	$7,244.36	$11,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $3,235.94	Professional		$1,122.02	$1,778.28	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,089.30	Professional		$1,096.48	$1,479.11	$2,089.30