Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,754.23 / $20,892.96	Facility		$1,819.70	$2,754.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,570.40	Professional		$891.25	$1,122.02	$2,570.40
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 $794.33 / $1,548.82 / $2,884.03	Professional		$794.33	$1,548.82	$2,884.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,737.80 / $2,454.71	Facility		$933.25	$1,737.80	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,548.82 / $2,454.71	Professional		$933.25	$1,548.82	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $436.52	Professional		$32.36	$33.11	$436.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $1,949.84	Facility		$1,412.54	$1,905.46	$1,949.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,348.96	Facility		$1,318.26	$1,318.26	$1,348.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,089.30 / $2,884.03	Professional		$1,348.96	$2,089.30	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,454.71	Professional		$1,479.11	$1,862.09	$2,454.71
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 $912.01 / $1,380.38 / $2,454.71	Professional		$912.01	$1,380.38	$2,454.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,698.24	Professional		$891.25	$1,023.29	$1,698.24