Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,762.47 / $20,892.96	Facility		$2,570.40	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,548.13	Professional		$1,202.26	$1,621.81	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $758.58 / $7,244.36	Facility		$707.95	$758.58	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $4,168.69	Professional		$1,258.93	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $5,754.40	Facility		$1,412.54	$2,691.53	$5,754.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $3,890.45	Professional		$1,412.54	$2,570.40	$3,890.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $2,754.23	Facility		$2,187.76	$2,691.53	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $3,981.07	Professional		$1,905.46	$2,951.21	$3,981.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $19,054.61 / $36,307.81	Facility		$12,882.50	$19,054.61	$36,307.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,467.37	Professional		$1,862.09	$2,630.27	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $11,748.98 / $19,498.45	Facility		$3,467.37	$11,748.98	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,801.89	Professional		$1,479.11	$2,089.30	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,344.23	Professional		$1,230.27	$1,412.54	$2,344.23