Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $20,892.96	Facility		$2,041.74	$7,943.28	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,884.03	Professional		$954.99	$1,258.93	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $933.25 / $9,332.54	Facility		$891.25	$933.25	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $3,311.31	Professional		$1,047.13	$1,778.28	$3,311.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $7,079.46	Facility		$1,202.26	$2,238.72	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $4,786.30	Professional		$1,174.90	$2,187.76	$4,786.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $81.28	Professional		$32.36	$33.11	$81.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,187.76	Facility		$1,698.24	$2,089.30	$2,187.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,819.70	Facility		$1,445.44	$1,479.11	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $3,090.30	Professional		$1,479.11	$2,290.87	$3,090.30
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 $1,479.11 / $2,089.30 / $2,818.38	Professional		$1,479.11	$2,089.30	$2,818.38
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 $1,122.02 / $1,621.81 / $2,951.21	Professional		$1,122.02	$1,621.81	$2,951.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,819.70	Professional		$954.99	$1,096.48	$1,819.70