Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,317.64 / $20,892.96	Facility		$5,011.87	$8,317.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $9,120.11	Professional		$3,467.37	$4,265.80	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $707.95 / $954.99	Facility		$501.19	$707.95	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $5,888.44 / $10,964.78	Professional		$1,995.26	$5,888.44	$10,964.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $6,760.83 / $9,549.93	Facility		$3,981.07	$6,760.83	$9,549.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,888.44 / $9,332.54	Professional		$3,467.37	$5,888.44	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,621.81	Professional		$32.36	$33.11	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,079.46 / $7,585.78	Facility		$5,754.40	$7,079.46	$7,585.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,128.61	Facility		$5,011.87	$5,011.87	$5,128.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,943.28 / $10,964.78	Professional		$5,128.61	$7,943.28	$10,964.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $7,244.36 / $9,332.54	Professional		$5,623.41	$7,244.36	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,258.93 / $5,754.40	Facility		$707.95	$1,258.93	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,370.32 / $9,549.93	Professional		$3,388.44	$5,370.32	$9,549.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $6,606.93	Professional		$3,467.37	$3,981.07	$6,606.93