Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $10,232.93 / $28,183.83	Facility		$3,311.31	$10,232.93	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,398.83 / $3,715.35	Professional		$1,318.26	$2,398.83	$3,715.35
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 $660.69 / $3,981.07 / $7,585.78	Professional		$660.69	$3,981.07	$7,585.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,715.35 / $7,079.46	Facility		$2,137.96	$3,715.35	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,388.44 / $5,888.44	Professional		$1,905.46	$3,388.44	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $177.83 / $1,778.28	Professional		$32.36	$177.83	$1,778.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,584.89	Facility		$1,258.93	$1,445.44	$1,584.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,467.37	Facility		$3,162.28	$3,162.28	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $6,760.83	Professional		$3,467.37	$4,897.79	$6,760.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,073.80 / $5,128.61	Professional		$3,235.94	$4,073.80	$5,128.61
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 $1,949.84 / $3,162.28 / $5,495.41	Professional		$1,949.84	$3,162.28	$5,495.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $3,019.95	Professional		$1,584.89	$1,862.09	$3,019.95