Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $11,220.18 / $20,892.96	Facility		$2,137.96	$11,220.18	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,951.21	Professional		$1,023.29	$1,348.96	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $5,011.87	Facility		$1,905.46	$1,905.46	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,467.37	Professional		$1,148.15	$1,819.70	$3,467.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $10,964.78	Facility		$1,584.89	$2,570.40	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,511.89 / $3,981.07	Professional		$1,584.89	$2,511.89	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $660.69	Professional		$32.36	$33.11	$660.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $2,290.87	Facility		$1,862.09	$2,187.76	$2,290.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,778.28	Facility		$1,513.56	$1,548.82	$1,778.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,570.40 / $3,311.31	Professional		$1,548.82	$2,570.40	$3,311.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $21,877.62	Facility		$8,317.64	$11,481.54	$21,877.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,467.37	Professional		$1,513.56	$2,344.23	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $12,882.50 / $23,442.29	Facility		$2,398.83	$12,882.50	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,090.30	Professional		$1,230.27	$1,737.80	$3,090.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,318.26 / $1,862.09	Professional		$151.36	$1,318.26	$1,862.09