Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,943.28 / $24,547.09	Facility		$1,862.09	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,570.40	Professional		$870.96	$1,096.48	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,862.09 / $3,019.95	Professional		$1,148.15	$1,862.09	$3,019.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,511.89	Facility		$1,174.90	$2,041.74	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,511.89	Professional		$1,202.26	$2,041.74	$2,511.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $63.10	Professional		$32.36	$33.11	$63.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $1,995.26	Facility		$1,548.82	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,380.38	Facility		$1,348.96	$1,348.96	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $2,951.21	Professional		$1,380.38	$2,290.87	$2,951.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,570.40	Professional		$1,380.38	$1,949.84	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $12,589.25	Facility		$4,265.80	$5,888.44	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,818.38	Professional		$954.99	$1,548.82	$2,818.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,778.28	Professional		$933.25	$1,258.93	$1,778.28