Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $20,892.96	Facility		$1,584.89	$2,344.23	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $2,187.76	Professional		$758.58	$933.25	$2,187.76
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 $691.83 / $1,318.26 / $2,511.89	Professional		$691.83	$1,318.26	$2,511.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,137.96	Facility		$812.83	$1,513.56	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,137.96	Professional		$794.33	$1,348.96	$2,137.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $380.19	Professional		$32.36	$33.11	$380.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,698.24	Facility		$1,202.26	$1,621.81	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,174.90	Facility		$1,148.15	$1,148.15	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,511.89	Professional		$1,174.90	$1,819.70	$2,511.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,137.96	Professional		$1,288.25	$1,621.81	$2,137.96
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 $794.33 / $1,174.90 / $2,137.96	Professional		$794.33	$1,174.90	$2,137.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,513.56	Professional		$794.33	$912.01	$1,513.56