Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $20,892.96	Facility		$1,862.09	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $2,630.27	Professional		$912.01	$1,096.48	$2,630.27
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 $812.83 / $1,621.81 / $3,019.95	Professional		$812.83	$1,621.81	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,570.40	Facility		$1,023.29	$1,862.09	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,570.40	Professional		$954.99	$1,621.81	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $446.68	Professional		$32.36	$33.11	$446.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,041.74	Facility		$1,479.11	$1,949.84	$2,041.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,412.54	Facility		$1,380.38	$1,380.38	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,019.95	Professional		$1,412.54	$2,187.76	$3,019.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40
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 $954.99 / $1,412.54 / $2,570.40	Professional		$954.99	$1,412.54	$2,570.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,778.28	Professional		$933.25	$1,071.52	$1,778.28