Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $20,892.96	Facility		$2,454.71	$3,467.37	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,388.44	Professional		$1,174.90	$1,584.89	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,995.26 / $2,290.87	Facility		$707.95	$1,995.26	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $4,168.69	Professional		$1,230.27	$2,238.72	$4,168.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,388.44	Facility		$1,230.27	$1,819.70	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,388.44	Professional		$1,230.27	$2,041.74	$3,388.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $602.56	Professional		$32.36	$33.11	$602.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,818.38	Facility		$1,949.84	$2,454.71	$2,818.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Facility		$1,862.09	$1,862.09	$1,949.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $4,073.80	Professional		$1,949.84	$3,019.95	$4,073.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $3,548.13	Professional		$1,905.46	$2,630.27	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $7,244.36 / $13,489.63	Facility		$6,025.60	$7,244.36	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,715.35	Professional		$1,380.38	$1,995.26	$3,715.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,570.40	Professional		$1,348.96	$1,548.82	$2,570.40