Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $11,481.54	Professional		$1,318.26	$1,584.89	$11,481.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,290.87	Professional		$1,905.46	$2,089.30	$2,290.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $2,344.23	Professional		$1,621.81	$1,905.46	$2,344.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,884.03	Facility		$2,511.89	$2,630.27	$2,884.03
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,630.27 / $2,754.23	Professional		$2,398.83	$2,630.27	$2,754.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,344.23 / $3,548.13	Facility		$218.78	$2,344.23	$3,548.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $2,344.23	Professional		$218.78	$302.00	$2,344.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $234.42	Professional		$194.98	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $912.01 / $1,995.26	Facility		$15.14	$912.01	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,570.40	Professional		$1,122.02	$1,318.26	$2,570.40