Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,951.21 / $3,388.44	Facility		$1,479.11	$2,951.21	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,890.45	Professional		$1,122.02	$1,479.11	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $4,073.80	Professional		$1,513.56	$2,570.40	$4,073.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $3,388.44	Facility		$1,584.89	$2,754.23	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $3,467.37	Professional		$1,659.59	$2,754.23	$3,467.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $2,818.38	Facility		$1,819.70	$2,570.40	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,905.46	Facility		$1,819.70	$1,819.70	$1,905.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,162.28 / $4,073.80	Professional		$1,905.46	$3,162.28	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,630.78	Professional		$1,862.09	$2,630.27	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,715.35	Facility		$1,148.15	$1,380.38	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,041.74 / $3,801.89	Professional		$1,258.93	$2,041.74	$3,801.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,344.23	Professional		$1,230.27	$1,659.59	$2,344.23