Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,456.54 / $20,892.96	Facility		$3,801.89	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,413.10	Professional		$2,511.89	$3,162.28	$7,413.10
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 $2,290.87 / $4,466.84 / $8,317.64	Professional		$2,290.87	$4,466.84	$8,317.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,011.87 / $7,079.46	Facility		$2,691.53	$5,011.87	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $7,079.46	Professional		$2,630.27	$4,466.84	$7,079.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $1,230.27	Professional		$32.36	$33.11	$1,230.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $5,754.40	Facility		$4,570.88	$5,370.32	$5,754.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $6,025.60 / $8,317.64	Professional		$3,890.45	$6,025.60	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $7,079.46	Professional		$4,265.80	$5,495.41	$7,079.46
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 $2,630.27 / $3,981.07 / $7,244.36	Professional		$2,630.27	$3,981.07	$7,244.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $4,897.79	Professional		$2,570.40	$2,951.21	$4,897.79