Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $20,892.96	Facility		$2,818.38	$4,677.35	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,677.35	Professional		$1,659.59	$2,089.30	$4,677.35
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 $1,778.28 / $3,019.95 / $5,623.41	Professional		$1,778.28	$3,019.95	$5,623.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,630.27 / $4,466.84	Facility		$1,737.80	$2,630.27	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $4,570.88	Professional		$1,737.80	$2,754.23	$4,570.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $117.49	Professional		$32.36	$33.11	$117.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $3,801.89	Facility		$2,754.23	$3,548.13	$3,801.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Facility		$2,511.89	$2,511.89	$2,630.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,073.80 / $5,495.41	Professional		$2,630.27	$4,073.80	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $4,786.30	Professional		$2,570.40	$3,548.13	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,318.26 / $5,754.40	Facility		$707.95	$1,318.26	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $5,128.61	Professional		$1,905.46	$2,754.23	$5,128.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,388.44	Professional		$1,778.28	$2,041.74	$3,388.44