Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,025.60 / $18,620.87	Facility		$2,137.96	$6,025.60	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $3,019.95	Professional		$1,023.29	$1,348.96	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $11,220.18	Facility		$630.96	$758.58	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $3,467.37	Professional		$1,023.29	$1,862.09	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $12,022.64	Facility		$1,148.15	$2,344.23	$12,022.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $9,549.93	Professional		$1,148.15	$2,290.87	$9,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $87.10	Professional		$32.36	$33.11	$87.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,290.87	Facility		$1,698.24	$2,238.72	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,344.23	Facility		$1,548.82	$1,584.89	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $3,311.31	Professional		$1,584.89	$2,454.71	$3,311.31
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 $1,584.89 / $2,187.76 / $2,951.21	Professional		$1,584.89	$2,187.76	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $25,703.96 / $50,118.72	Facility		$3,467.37	$25,703.96	$50,118.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,162.28	Professional		$1,174.90	$1,698.24	$3,162.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,995.26	Professional		$1,047.13	$1,202.26	$1,995.26