Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,762.47 / $20,892.96	Facility		$2,454.71	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,467.37	Professional		$1,174.90	$1,548.82	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $8,709.64	Facility		$707.95	$870.96	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,981.07	Professional		$1,202.26	$2,137.96	$3,981.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,691.53 / $9,332.54	Facility		$1,412.54	$2,691.53	$9,332.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $7,244.36	Professional		$1,318.26	$2,630.27	$7,244.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $2,691.53	Facility		$2,041.74	$2,570.40	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,819.70	Facility		$1,778.28	$1,819.70	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,801.89	Professional		$1,819.70	$2,818.38	$3,801.89
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 $1,819.70 / $2,511.89 / $3,388.44	Professional		$1,819.70	$2,511.89	$3,388.44
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 $1,348.96 / $1,995.26 / $3,630.78	Professional		$1,348.96	$1,995.26	$3,630.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,238.72	Professional		$1,174.90	$1,380.38	$2,238.72