Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $20,892.96	Facility		$3,019.95	$5,495.41	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $5,888.44	Professional		$2,041.74	$2,570.40	$5,888.44
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 $1,905.46 / $3,548.13 / $6,456.54	Professional		$1,905.46	$3,548.13	$6,456.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,981.07 / $5,623.41	Facility		$2,290.87	$3,981.07	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,548.13 / $5,495.41	Professional		$2,089.30	$3,548.13	$5,495.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $977.24	Professional		$32.36	$33.11	$977.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $4,570.88	Facility		$3,388.44	$4,265.80	$4,570.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,677.35 / $6,456.54	Professional		$3,019.95	$4,677.35	$6,456.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $5,623.41	Professional		$3,311.31	$4,265.80	$5,623.41
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 $2,137.96 / $3,162.28 / $5,623.41	Professional		$2,137.96	$3,162.28	$5,623.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,398.83 / $3,981.07	Professional		$2,089.30	$2,398.83	$3,981.07