Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $20,892.96	Facility		$1,949.84	$2,818.38	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,691.53	Professional		$954.99	$1,174.90	$2,691.53
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 $851.14 / $1,659.59 / $3,162.28	Professional		$851.14	$1,659.59	$3,162.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $2,691.53	Facility		$1,047.13	$1,905.46	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,630.27	Professional		$1,000.00	$1,698.24	$2,630.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $467.74	Professional		$32.36	$33.11	$467.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,137.96	Facility		$1,479.11	$1,995.26	$2,137.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,090.30	Professional		$1,445.44	$2,238.72	$3,090.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,691.53	Professional		$1,621.81	$2,041.74	$2,691.53
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 $1,000.00 / $1,445.44 / $2,691.53	Professional		$1,000.00	$1,445.44	$2,691.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,905.46	Professional		$1,000.00	$1,148.15	$1,905.46