Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $20,892.96	Facility		$2,818.38	$4,677.35	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,897.79	Professional		$1,659.59	$2,041.74	$4,897.79
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 $1,479.11 / $2,884.03 / $5,370.32	Professional		$1,479.11	$2,884.03	$5,370.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $4,677.35	Facility		$1,819.70	$3,311.31	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $4,570.88	Professional		$1,698.24	$2,951.21	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $794.33	Professional		$32.36	$33.11	$794.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $3,630.78	Facility		$2,691.53	$3,467.37	$3,630.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $5,248.07	Professional		$2,454.71	$3,801.89	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,466.84	Professional		$2,691.53	$3,467.37	$4,466.84
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 $1,737.80 / $2,630.27 / $4,677.35	Professional		$1,737.80	$2,630.27	$4,677.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,090.30	Professional		$1,621.81	$1,905.46	$3,090.30