Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,762.47 / $20,892.96	Facility		$2,344.23	$7,762.47	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,311.31	Professional		$1,122.02	$1,479.11	$3,311.31
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 $1,148.15 / $2,041.74 / $3,801.89	Professional		$1,148.15	$2,041.74	$3,801.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $11,748.98	Facility		$1,348.96	$2,570.40	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $9,120.11	Professional		$1,288.25	$2,511.89	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $95.50	Professional		$32.36	$33.11	$95.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,570.40	Facility		$1,949.84	$2,454.71	$2,570.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $1,819.70	Facility		$1,698.24	$1,737.80	$1,819.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $3,630.78	Professional		$1,737.80	$2,691.53	$3,630.78
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 $1,737.80 / $2,398.83 / $3,235.94	Professional		$1,737.80	$2,398.83	$3,235.94
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 $1,288.25 / $1,905.46 / $3,467.37	Professional		$1,288.25	$1,905.46	$3,467.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,137.96	Professional		$1,148.15	$1,318.26	$2,137.96